| Dr Lucky Maze, PT, DPT, OCS | |
|
5073 Main St Ste 140, Spring Hill, TN 37174-2738 | |
| (615) 861-4444 | |
| Not Available |
| Full Name | Dr Lucky Maze |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 5073 Main St Ste 140, Spring Hill, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639896624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 16343 (Tennessee) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucky Maze, PT, DPT, OCS 2011 Blossom Run, Spring Hill, TN 37174-4542 Ph: (615) 913-6862 | Dr Lucky Maze, PT, DPT, OCS 5073 Main St Ste 140, Spring Hill, TN 37174-2738 Ph: (615) 861-4444 |
Mary Ann Bullins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3056 Miles Johnson Pkwy, Spring Hill, TN 37174 Phone: 877-407-3422 Fax: 877-407-4329 | |
Mrs. Joanne Shuru-tan Mcginnis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3056 Miles Johnson Pkwy, Spring Hill, TN 37174 Phone: 877-407-3422 Fax: 877-407-4329 | |
Dr. Lauren Jolly, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3011 Longford Dr Ste 7, Spring Hill, TN 37174 Phone: 615-302-8056 | |
Brian Thomas Byrd, DPT, MTC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5010 Spedale Ct, Spring Hill, TN 37174 Phone: 931-486-0599 Fax: 931-486-3962 | |
Tyler John Soltis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5073 Main St Ste 120, Spring Hill, TN 37174 Phone: 615-302-3564 Fax: 615-302-3067 | |
Dr. Shad Morgheim, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1011 Alice Springs Cir, Spring Hill, TN 37174 Phone: 303-514-1599 | |
Dr. Sarah Hanna Zaka, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3056 Miles Johnson Pkwy, Spring Hill, TN 37174 Phone: 877-407-3422 Fax: 877-407-4329 |