| Lisa Thackery, MPT | |
|
10560 Barkley St, Suite 330, Overland Park, KS 66212-1811 | |
| (913) 652-9229 | |
| (913) 652-9198 |
| Full Name | Lisa Thackery |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10560 Barkley St, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821123985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-02908 (Kansas) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730636846 PECOS PAC ID: 2163339722 Enrollment ID: O20161010000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Thackery, MPT 5607 W 77th Ter, Prairie Village, KS 66208-4730 Ph: (913) 341-7585 | Lisa Thackery, MPT 10560 Barkley St, Suite 330, Overland Park, KS 66212-1811 Ph: (913) 652-9229 |
Jennifer Jeanne Walawender, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10777 Nall Ave, Suite 320, Overland Park, KS 66211 Phone: 913-312-1777 | |
Donya Marie Goman, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7819 Conser Pl, Overland Park, KS 66204 Phone: 913-789-9900 | |
Dr. Joseph Taylor Stofferahn, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10400 W 103rd St Ste 22, Overland Park, KS 66214 Phone: 913-322-4000 | |
Nancy Jo Rosenthal Huck, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7279 W 105th St, Overland Park, KS 66212 Phone: 913-642-7746 Fax: 913-642-7745 | |
Kacie Beebe, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10400 W 103rd St Ste 22, Overland Park, KS 66214 Phone: 913-322-4000 | |
Hayden M Olson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15040 Newton Dr, Overland Park, KS 66223 Phone: 913-808-5245 | |
Anne Wetterer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 10300 W 103rd St., 300, Overland Park, KS 66214 Phone: 913-894-1910 |