| Lacey Neal, | |
|
370 N Main St, Canton, IL 61520-1826 | |
| (309) 822-5300 | |
| Not Available |
| Full Name | Lacey Neal |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 370 N Main St, Canton, Illinois |
| 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 |
|---|---|---|---|
| 1649732900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-020019 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rock Valley Physical Therapy Center | 9638087877 | 212 |
| Provider Name | Rock Valley Physical Therapy Center |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1245373166 PECOS PAC ID: 9638087877 Enrollment ID: O20040630000390 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Neal, 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070 | Lacey Neal, 370 N Main St, Canton, IL 61520-1826 Ph: (309) 822-5300 |
Kathryn Knott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 E Side Sq, Canton, IL 61520 Phone: 309-649-1572 | |
Johnes Marcera Flores, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2081 N Main St, Canton, IL 61520 Phone: 309-647-6135 | |
Adam Arthur Hanes, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 486 N Main St, Canton, IL 61520 Phone: 309-357-5470 Fax: 309-357-5943 | |
Patti Humphry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 E Side Sq, Canton, IL 61520 Phone: 309-649-1572 Fax: 309-649-1581 | |
Ms. Gloen B Fabila, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 N 4th Ave Apt 8, Canton, IL 61520 Phone: 309-357-0985 | |
Mckenzie Vonk, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 370 N Main St, Canton, IL 61520 Phone: 309-822-5300 | |
William Severt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 Fax: 309-649-5159 |