| Holli Guthrie, DPT | |
|
106 Pearl Dr Ste 104, La Fayette, GA 30728-7510 | |
| (706) 638-3880 | |
| (706) 638-3890 |
| Full Name | Holli Guthrie |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 106 Pearl Dr Ste 104, La Fayette, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457920167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT015351 (Georgia) | Primary |
| Provider Name | Performance Physical Therapy & Sports Medicine Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871738872 PECOS PAC ID: 8426112137 Enrollment ID: O20090126000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Holli Guthrie, DPT Po Box 431, La Fayette, GA 30728-0431 Ph: (706) 638-3880 | Holli Guthrie, DPT 106 Pearl Dr Ste 104, La Fayette, GA 30728-7510 Ph: (706) 638-3880 |
Ms. Latefa Nichelle Terry, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 W Villanow St, La Fayette, GA 30728 Phone: 706-638-5983 | |
Carter Grant, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Pearl Dr Ste 104, La Fayette, GA 30728 Phone: 706-638-3880 Fax: 706-638-3890 | |
Courtney Durham, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Pearl Dr Ste 104, La Fayette, GA 30728 Phone: 706-638-3880 | |
Matthew Parker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Pearl Dr Ste 104, La Fayette, GA 30728 Phone: 706-638-3880 Fax: 706-638-3890 | |
Mrs. Angela Leanne Tatum, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4147 Straight Gut Rd, La Fayette, GA 30728 Phone: 706-764-2951 Fax: 706-764-2951 | |
Lauren Taylor Shank, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Pearl Dr, Suite 104, La Fayette, GA 30728 Phone: 706-638-3880 Fax: 706-638-3890 |