Lance Tucker, | |
4437 Richmond Ave, Shreveport, LA 71106-1419 | |
(318) 272-6125 | |
Not Available |
Full Name | Lance Tucker |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4437 Richmond Ave, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982289997 | NPI | - | NPPES |
06586R | Other | LA | PRIVATE PAY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 06586R (Louisiana) | Primary |
Provider Name | Core Physical Therapy And Performance Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609243716 PECOS PAC ID: 4688974843 Enrollment ID: O20151120000374 |
Provider Name | Glory Rehab Services Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1972367332 PECOS PAC ID: 6608211560 Enrollment ID: O20240301000209 |
Mailing Address | Practice Location Address |
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Lance Tucker, 4437 Richmond Ave, Shreveport, LA 71106-1419 Ph: (318) 272-6125 | Lance Tucker, 4437 Richmond Ave, Shreveport, LA 71106-1419 Ph: (318) 272-6125 |
Suzannah Kathryn York - Crump, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 266 Ockley Dr, Shreveport, LA 71105 Phone: 337-580-0083 Fax: 337-580-0083 | |
Anna Means Moore, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Fairfield Ave, Shreveport, LA 71104 Phone: 318-841-0696 Fax: 318-841-0776 | |
Sydney Williams, Physical Therapist Medicare: Medicare Enrolled Practice Location: 670 Albemarle Dr Ste 1100, Shreveport, LA 71106 Phone: 318-828-1450 Fax: 318-828-2697 | |
Archna Shasta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7591 Fern Ave Ste 1203, Shreveport, LA 71105 Phone: 318-828-2972 | |
Claire Marie Melebeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, School Of Allied Health, Shreveport, LA 71103 Phone: 318-813-2961 Fax: 318-813-2989 | |
Michael Wayne Wiltcher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10178 Berrywood Cir, Shreveport, LA 71106 Phone: 318-469-4349 | |
Dr. Courtney E Page, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6969 Fern Loop Ste A, Shreveport, LA 71105 Phone: 317-383-0022 |