| Mr Russell Wade Lees, PT | |
|
301 Harding St, Clayton, NM 88415-3321 | |
| (575) 374-5733 | |
| Not Available |
| Full Name | Mr Russell Wade Lees |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 301 Harding St, Clayton, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881843449 | NPI | - | NPPES |
| K5719 | Other | NM | MEDICAID PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2898 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Russell Wade Lees, PT 301 Harding St, Clayton, NM 88415-3321 Ph: (575) 374-5733 | Mr Russell Wade Lees, PT 301 Harding St, Clayton, NM 88415-3321 Ph: (575) 374-5733 |
Mrs. Lana C Ramos, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Wilson St, Clayton, NM 88415 Phone: 575-374-2585 | |
Megan Wood, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Wilson St, Clayton, NM 88415 Phone: 575-374-5733 |