| Jared James Lichman, DPT, LAT, ATC | |
|
825 S Taft Ave Ste 4, Mason City, IA 50401-7345 | |
| (641) 450-0616 | |
| Not Available |
| Full Name | Jared James Lichman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 825 S Taft Ave Ste 4, Mason City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205351673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 092891 (Iowa) | Secondary |
| Provider Name | Synergy Physical Therapy & Sports Medicine Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1881080984 PECOS PAC ID: 3476873282 Enrollment ID: O20150519001385 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared James Lichman, DPT, LAT, ATC 825 S Taft Ave Ste 4, Mason City, IA 50401-7345 Ph: (641) 450-0616 | Jared James Lichman, DPT, LAT, ATC 825 S Taft Ave Ste 4, Mason City, IA 50401-7345 Ph: (641) 450-0616 |
Kristine Trask, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 S Pierce Ave, #224, Mason City, IA 50401 Phone: 641-421-8584 | |
Jared James Johanns, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 S Crescent Dr, Mason City, IA 50401 Phone: 641-494-5255 Fax: 641-494-5259 | |
Joseph S Gullickson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 461 S Illinois Ave, Mason City, IA 50401 Phone: 641-423-6279 Fax: 641-423-6707 | |
Paula M Siems, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 S Crescent Dr, Mason City, IA 50401 Phone: 641-422-6995 Fax: 641-422-6577 | |
Mattison Rose Kern, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 461 S Illinois Ave, Mason City, IA 50401 Phone: 641-423-6279 | |
Dr. Jeremy Kevin Stamps, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 4th St Sw, Mason City, IA 50401 Phone: 708-704-4657 |