| Desirae Lyall, PT | |
|
299 Bradley Blvd Ste C, Richland, WA 99352-4691 | |
| (509) 713-7555 | |
| (509) 783-6151 |
| Full Name | Desirae Lyall |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 299 Bradley Blvd Ste C, Richland, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922609882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT61105476 (Washington) | Primary |
| Provider Name | Superior Health Care Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396818316 PECOS PAC ID: 8123914314 Enrollment ID: O20040225000183 |
| Provider Name | Peak Performance Physical Therapy, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851800742 PECOS PAC ID: 4789946195 Enrollment ID: O20250429002455 |
| Mailing Address | Practice Location Address |
|---|---|
| Desirae Lyall, PT 2839 W Kennewick Ave # 550, Kennewick, WA 99336-2927 Ph: (509) 713-7555 | Desirae Lyall, PT 299 Bradley Blvd Ste C, Richland, WA 99352-4691 Ph: (509) 713-7555 |
Dr. Kyle Thomas Perry, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 Queensgate Dr, Richland, WA 99352 Phone: 509-578-5100 | |
Andrew Neumann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 Queensgate Dr, Richland, WA 99352 Phone: 509-578-5100 Fax: 545-491-3318 | |
Katherine Gilreath, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 Queensgate Dr, Richland, WA 99352 Phone: 509-578-5100 | |
Jordan T Bowers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 343 Wellsian Way, Richland, WA 99352 Phone: 509-946-9191 | |
Shona Sutherland Craig, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1455 Columbia Park Trail, Richland, WA 99352 Phone: 509-396-3707 Fax: 509-396-3710 | |
Lauren Halterman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Jordan Ln, Richland, WA 99352 Phone: 509-205-9566 | |
Anderson Mcgilliard, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 875 Gage Blvd, Richland, WA 99352 Phone: 509-946-1654 Fax: 509-943-5652 |