| Mr Jerry Robert Marshall, PT | |
|
4930 Mcleod Rd Ne, Albuquerque, NM 87109-2118 | |
| (505) 884-2032 | |
| Not Available |
| Full Name | Mr Jerry Robert Marshall |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4930 Mcleod Rd Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245330786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2024 (New Mexico) | Primary |
| Provider Name | Living Waters Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366847725 PECOS PAC ID: 3375866080 Enrollment ID: O20150106000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry Robert Marshall, PT 7508 Mcnerney Ave Ne, Albuquerque, NM 87110-2224 Ph: (505) 830-9030 | Mr Jerry Robert Marshall, PT 4930 Mcleod Rd Ne, Albuquerque, NM 87109-2118 Ph: (505) 884-2032 |
Rebecca A Vidos-roland, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-343-6328 Fax: 505-727-9515 | |
Roylee Luna, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4411 Montano Rd Nw, Suite F, Albuquerque, NM 87120 Phone: 505-838-8900 Fax: 505-838-8313 | |
Amy Elizabeth Harrison, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Summit Pl Ne, Albuquerque, NM 87106 Phone: 505-604-2740 | |
Leeann Schober, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Central Ave Se Ste D, Albuquerque, NM 87102 Phone: 505-242-2294 Fax: 505-242-2917 | |
Melody Dawn Krech, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5130 San Francisco Rd Ne, Ste B, Albuquerque, NM 87109 Phone: 505-823-2411 Fax: 505-858-0650 | |
William L Rohrig, THERAPY DIR. II Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5700 Harper Dr Ne, Albuquerque, NM 87109 Phone: 505-858-8526 Fax: 505-858-8570 | |
Albuquerque Physical Therapists Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 7615 Indian School Rd Ne, Albuquerque, NM 87110 Phone: 505-888-7979 Fax: 505-888-8859 |