Taylor Ravoyd Liles, PT, DPT | |
2630 Central Ave, Eielson Afb, AK 99702-2301 | |
(907) 377-6631 | |
Not Available |
Full Name | Taylor Ravoyd Liles |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 2630 Central Ave, Eielson Afb, Alaska |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699364877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 174385 (Alaska) | Secondary |
225100000X | Physical Therapist | 1377738 (Texas) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapist Central, Inc. | 8426145699 | 3 |
Provider Name | Therapist Central, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1700074382 PECOS PAC ID: 8426145699 Enrollment ID: O20180706000515 |
Mailing Address | Practice Location Address |
---|---|
Taylor Ravoyd Liles, PT, DPT 2630 Central Ave, Eielson Afb, AK 99702-2301 Ph: () - | Taylor Ravoyd Liles, PT, DPT 2630 Central Ave, Eielson Afb, AK 99702-2301 Ph: (907) 377-6631 |
Charles W. Houlding, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 Central Ave, Eielson Afb, AK 99702 Phone: 907-377-6627 Fax: 907-377-4379 | |
Turner Arizona Macphee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2630 Central Ave, Eielson Afb, AK 99702 Phone: 907-377-3266 | |
Miles A. Stutes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2630 Central Ave, Eielson Afb, AK 99702 Phone: 907-377-6627 | |
Daniel Braswell, PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2630 Central Ave, Eielson Afb, AK 99702 Phone: 073-771-8479 |