Tracee Pugh, | |
1991 Pickens Rd, Clarksville, TN 37040-6022 | |
(931) 624-0014 | |
Not Available |
Full Name | Tracee Pugh |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1991 Pickens Rd, Clarksville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689102873 | NPI | - | NPPES |
0446631 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11287 (Tennessee) | Primary |
Provider Name | Legacy Physiotherapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1851019095 PECOS PAC ID: 8426403247 Enrollment ID: O20231016000267 |
Mailing Address | Practice Location Address |
---|---|
Tracee Pugh, 1991 Pickens Rd, Clarksville, TN 37040-6022 Ph: (931) 624-0014 | Tracee Pugh, 1991 Pickens Rd, Clarksville, TN 37040-6022 Ph: (931) 624-0014 |
Abigale Lunsford, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 461 Pond Apple Rd, Clarksville, TN 37043 Phone: 931-920-4333 | |
Christina Lauren Bovell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 298 Warfield Blvd Apt C, Clarksville, TN 37043 Phone: 931-906-0440 | |
Mrs. Dana Gillilan Terrell, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 Marietta Pl, Clarksville, TN 37043 Phone: 270-798-8102 | |
Jerry Paschal Stewart, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2134 Old Ashland City Rd, Clarksville, TN 37043 Phone: 931-552-3002 | |
Mrs. Mary Catherine Lang, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1842 Wilma Rudolph Blvd, Clarksville, TN 37040 Phone: 931-906-0440 Fax: 931-920-5070 | |
Dr. Lindley Rutherford, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 851 Professional Park Dr, Clarksville, TN 37040 Phone: 931-542-2168 | |
Marcus Antwan Pearson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2690 Madison St Ste 120, Clarksville, TN 37043 Phone: 931-358-0559 Fax: 931-358-0587 |