| Miss Lydia Gibson, | |
|
220 Nw R D Mize Rd Ste B203, Blue Springs, MO 64014-2540 | |
| (816) 220-0223 | |
| Not Available |
| Full Name | Miss Lydia Gibson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 220 Nw R D Mize Rd Ste B203, Blue Springs, Missouri |
| 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 |
|---|---|---|---|
| 1316327067 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Lydia Gibson, 3725 N Kansas Ave, Topeka, KS 66617-1559 Ph: (785) 409-0030 | Miss Lydia Gibson, 220 Nw R D Mize Rd Ste B203, Blue Springs, MO 64014-2540 Ph: (816) 220-0223 |
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Abigail Meridith, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Nw R D Mize Rd Ste B203, Blue Springs, MO 64014 Phone: 816-220-0223 | |
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