Theron Locke, DPT is a 
Physical Therapist based in Abbeville, Alabama. Theron Locke is licensed to practice in Alabama (license number ) and his current practice location is 
212 Dothan Rd, Abbeville, Alabama. He can be reached at his office (for appointments etc.) via phone at 
(334) 585-2241.
NPI number for Theron Locke is 1003400235 and his current mailing address is 601 Whatley Dr Apt H7007, Dothan, Alabama. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003400235.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Theron Locke | 
|---|
| Gender | Male | 
|---|
| Speciality | Physical Therapist | 
|---|
| Location | 212 Dothan Rd, Abbeville, Alabama | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1003400235
- Provider Enumeration Date: 02/28/2021
- Last Update Date: 02/28/2021
 
		 
		 
Medical Identifiers
		Medical identifiers for Theron Locke such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1003400235 | NPI | - | NPPES | 
| 105105 | Medicaid | AL |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 225100000X | Physical Therapist | (Alabama) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theron Locke is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Theron Locke, DPT 601 Whatley Dr Apt H7007,
 Dothan, AL 36303-2475
 Ph: () -
 | Theron Locke, DPT 212 Dothan Rd,
 Abbeville, AL 36310-2800
 Ph: (334) 585-2241
 | 
		
		 
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