| Justin Laster, DPT | |
|
1129 Ms-35 #2, Forest, MS 39074 | |
| (601) 469-1001 | |
| Not Available |
| Full Name | Justin Laster |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1129 Ms-35 #2, Forest, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720645831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Performance Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Laster, DPT 1618 Highway 43 N, Pelahatchie, MS 39145-2873 Ph: () - | Justin Laster, DPT 1129 Ms-35 #2, Forest, MS 39074 Ph: (601) 469-1001 |
Cathy G Cooper, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 813 West 3rd Street, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Alexandria M Taylor, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 339 W Third St, Forest, MS 39074 Phone: 601-287-8007 Fax: 601-287-8038 | |
Small Town Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2039 Highway 35 S, Forest, MS 39074 Phone: 601-917-0284 | |
Haley M Allen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 237 N Woodland Dr, Forest, MS 39074 Phone: 601-564-8750 | |
Slater Henry Richardson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 504 Airport Rd Ste C, Forest, MS 39074 Phone: 601-469-2732 | |
Jordan B Manning, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 237 N Woodland Dr, Forest, MS 39074 Phone: 601-564-8750 Fax: 601-564-8747 | |
Leanne Earls Pounders, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 813 W Third St, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 |