| Lakeside Orthopedic Institute, Llc | |
|
1979 Mcculloch Blvd N, Suite 101, Lake Havasu City, AZ 86403-0953 | |
| (928) 855-4842 | |
| (928) 855-7452 |
| Full Name | Lakeside Orthopedic Institute, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1979 Mcculloch Blvd N, Lake Havasu City, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962636050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2641 (Arizona) | Primary |
| 225100000X | Physical Therapist | 8192 (Arizona) | Secondary |
| 225100000X | Physical Therapist | 6762 (Arizona) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Orthopedic Institute, Llc 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 Ph: (928) 854-5555 | Lakeside Orthopedic Institute, Llc 1979 Mcculloch Blvd N, Suite 101, Lake Havasu City, AZ 86403-0953 Ph: (928) 855-4842 |
Ms. Elizabeth Rorie Page, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1951 Mesquite Ave, Suite # I, Lake Havasu City, AZ 86403 Phone: 928-680-1637 | |
Anita Gail Martin, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25 Riviera Blvd, Lake Havasu City, AZ 86403 Phone: 928-505-5555 Fax: 928-505-2877 | |
Donna G Jones D/b/a Havasu Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2126 Mcculloch Blvd N, Ste 18, Lake Havasu City, AZ 86403 Phone: 928-854-7676 Fax: 928-854-7676 | |
Dr. David Funk, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2781 Osborn Dr, Lake Havasu City, AZ 86406 Phone: 814-758-8838 | |
Jonathan K Oneill, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 191 Swanson Ave #102, Lake Havasu City, AZ 86403 Phone: 928-855-7880 | |
Walter Edwin Foxcroft Iii, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1791 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-855-4248 Fax: 928-855-7452 | |
Tom D Bennetch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 297 S Lake Havasu Ave, #102, Lake Havasu City, AZ 86403 Phone: 928-453-0501 Fax: 928-453-0502 |