| Jordan Lynn Blagrave, DPT | |
|
221 N Main Ave, Lamesa, TX 79331-5533 | |
| (806) 200-5030 | |
| (806) 370-6484 |
| Full Name | Jordan Lynn Blagrave |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 221 N Main Ave, Lamesa, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255174801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1394078 (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lamesa Physical Therapy And Sports Rehab, Pllc | 4789941758 | 3 |
| Provider Name | Lamesa Physical Therapy And Sports Rehab, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205346541 PECOS PAC ID: 4789941758 Enrollment ID: O20171129001393 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Lynn Blagrave, DPT 221 N Main Ave, Lamesa, TX 79331-5533 Ph: (806) 200-5030 | Jordan Lynn Blagrave, DPT 221 N Main Ave, Lamesa, TX 79331-5533 Ph: (806) 200-5030 |
Kristen S Snellgrove, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 221 N Main Ave, Lamesa, TX 79331 Phone: 806-752-7499 | |
Lamesa Physical Therapy And Sports Rehab, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 221 N Main Ave, Lamesa, TX 79331 Phone: 806-759-1483 Fax: 806-370-6484 | |
Clint Kennedy, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 N Main Ave, Lamesa, TX 79331 Phone: 806-200-5030 Fax: 806-370-6484 | |
Joshua Klaus Freitag, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 N Main Ave, Lamesa, TX 79331 Phone: 806-752-7499 Fax: 806-370-6484 | |
Tyler Sikes, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 N Main Ave, Lamesa, TX 79331 Phone: 806-752-7499 Fax: 806-370-6484 |