| Mallorie Kristin Lyles, | |
|
103 S Y Sq, Selmer, TN 38375-1739 | |
| (731) 982-1102 | |
| Not Available |
| Full Name | Mallorie Kristin Lyles |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 103 S Y Sq, Selmer, Tennessee |
| 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 |
|---|---|---|---|
| 1285301382 | NPI | - | NPPES |
| 0446631 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7872 (Mississippi) | Secondary |
| 225100000X | Physical Therapist | 16575 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agilitas Usa, Inc | 3375454648 | 812 |
| Provider Name | Agilitas USA, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Provider Name | Results-ast JV LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallorie Kristin Lyles, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Mallorie Kristin Lyles, 103 S Y Sq, Selmer, TN 38375-1739 Ph: (731) 982-1102 |
Mrs. Dyana Alexander Gates, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 835 E Poplar Ave, Selmer, TN 38375 Phone: 731-645-3201 |
Jessica Southers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 908 Mulberry Ave, Selmer, TN 38375 Phone: 731-645-4501 Fax: 731-645-4893 |
Kathy Hunt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 S Y Sq, Selmer, TN 38375 Phone: 731-645-3396 |
Mcnairy County Schools Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Mulberry Ave Ste 2, Selmer, TN 38375 Phone: 731-645-3267 |
Vicki Leann Stout, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 E Court Ave, Selmer, TN 38375 Phone: 731-645-7932 Fax: 731-645-5195 |
Tina Pezeshk, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Mulberry Ave, Selmer, TN 38375 Phone: 731-645-4501 Fax: 731-645-4893 |
Ms. Sonia Ann Berry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 E. Court Ave, Suite B, Selmer, TN 38375 Phone: 731-645-7932 Fax: 731-645-5195 |