| Krista Lodge, DPT | |
|
1111 Ansborough Ave, Waterloo, IA 50701-2248 | |
| (319) 433-0130 | |
| (319) 433-0131 |
| Full Name | Krista Lodge |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1111 Ansborough Ave, Waterloo, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346595667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12010-24 (Wisconsin) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20150820012358 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Lodge, DPT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6200 | Krista Lodge, DPT 1111 Ansborough Ave, Waterloo, IA 50701-2248 Ph: (319) 433-0130 |
Marissa Stalder, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3560 Kimball Ave, Waterloo, IA 50702 Phone: 319-233-6995 Fax: 319-233-7083 | |
Justine Zikuda, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3820 Pheasant Ln, Waterloo, IA 50701 Phone: 319-233-6995 | |
Kris Marcks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 815 Tower Park Dr, Waterloo, IA 50701 Phone: 319-233-6995 Fax: 319-233-7083 | |
Shayla Mcintyre, PT, DPT, CLT-LANA Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2160 Logan Ave, Waterloo, IA 50703 Phone: 319-226-8560 Fax: 319-226-8565 | |
Ms. Kyle Marie Scheidel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2651 Saint Francis Dr, Waterloo, IA 50702 Phone: 319-236-6942 | |
Dr. Robert Paul Sarver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2160 Logan Ave, Waterloo, IA 50703 Phone: 319-226-8560 Fax: 319-226-8565 | |
Marie Anne Andren, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2001 Heath St, Waterloo, IA 50703 Phone: 319-234-4423 |