| Kurtis Lackland, MPT | |
|
3075 Tower Rd, Suite A, Columbus, GA 31909-2536 | |
| (706) 507-3794 | |
| (706) 507-3681 |
| Full Name | Kurtis Lackland |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 17 Years |
| Location | 3075 Tower Rd, Columbus, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316271679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2009028456 (Missouri) | Secondary |
| 225100000X | Physical Therapist | PT011452 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boone Physician Services Llc | 6507090644 | 246 |
| Provider Name | Boone Physician Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
| Provider Name | Central Missouri Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1558436592 PECOS PAC ID: 6901870187 Enrollment ID: O20150915001876 |
| Mailing Address | Practice Location Address |
|---|---|
| Kurtis Lackland, MPT 850 N Hospital Dr, Suite H, Fulton, MO 65251-2535 Ph: (573) 642-8541 | Kurtis Lackland, MPT 3075 Tower Rd, Suite A, Columbus, GA 31909-2536 Ph: (706) 507-3794 |
Katherine Hall Mcgilberry, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 Double Churches Rd, Columbus, GA 31909 Phone: 706-660-1144 | |
Alicia Elizabeth Hubbard, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1303 Stark Ave, Columbus, GA 31906 Phone: 706-221-6461 | |
Allie Morgan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6801 River Rd Ste 302, Columbus, GA 31904 Phone: 706-507-9949 Fax: 706-507-9994 | |
Mr. Thomas A Boers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6298 Veterans Pkwy, Suite 5, Columbus, GA 31909 Phone: 706-322-3558 | |
Ms. Joanne C Oconnor, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6298 Veterans Parkway, Suite 5a, Columbus, GA 31908 Phone: 706-320-7762 | |
Wonderfully Made Women's Health Physical Therapy & Wellness, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8210 Lallarook Dr, Columbus, GA 31909 Phone: 432-853-8530 | |
Dr. Darin Michael White, DPT, ECS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6262 Veterans Pkwy, Columbus, GA 31909 Phone: 706-494-3193 Fax: 706-494-3201 |