| Keith William Lancaster, DPT | |
|
1310 Manchester Ave, Wabash, IN 46992-1615 | |
| (260) 563-5630 | |
| Not Available |
| Full Name | Keith William Lancaster |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1310 Manchester Ave, Wabash, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447377304 | NPI | - | NPPES |
| 05004606A | Other | IN | PHYSICAL THERAPY LICENSE |
| 000000352156 | Other | IN | ANTHEM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05004606A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keith William Lancaster, DPT 4411 S Adams St, Marion, IN 46953-5349 Ph: (765) 674-4455 | Keith William Lancaster, DPT 1310 Manchester Ave, Wabash, IN 46992-1615 Ph: (260) 563-5630 |
Mr. Jose Angelito Simpao, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 John Kissinger Dr, Wabash, IN 46992 Phone: 260-563-3131 | |
Indiana Wesleyan University Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1310 Manchester Ave, Wabash, IN 46992 Phone: 260-563-5630 | |
Mrs. Patricia Ann Plummer, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 Parkway Dr, Wabash, IN 46992 Phone: 260-563-5037 Fax: 260-563-5037 | |
Brooke Derby, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Alber St, Wabash, IN 46992 Phone: 260-569-5480 Fax: 260-569-5485 | |
Tonia Sue Richards, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1700 Alber St, Wabash, IN 46992 Phone: 260-569-5480 Fax: 260-569-5485 | |
Sherry Lynn Schoening, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Alber St, Wabash, IN 46992 Phone: 260-569-5480 Fax: 260-569-5485 |