| Myofascial Release Therapy, Llc | |
|
1405 W Reynolds St, Pontiac, IL 61764-0468 | |
| (815) 844-2464 | |
| (815) 842-1024 |
| Full Name | Myofascial Release Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1405 W Reynolds St, Pontiac, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427078369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Linda G Carley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255356465 PECOS PAC ID: 8123024403 Enrollment ID: I20061010000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Myofascial Release Therapy, Llc 1405 W Reynolds St, Po Box 468, Pontiac, IL 61764-0468 Ph: (815) 844-2464 | Myofascial Release Therapy, Llc 1405 W Reynolds St, Pontiac, IL 61764-0468 Ph: (815) 844-2464 |
Mr. Michael S Bennington, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 924 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-4690 Fax: 815-844-4810 | |
Erin Baker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-2828 Fax: 815-842-6893 | |
Mrs. Tanya M Knauff, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 924 W Custer Ave, Pontiac, IL 61764 Phone: 877-348-8500 Fax: 815-844-5411 | |
Mr. Thomas L Ladeairous, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 924 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-4690 Fax: 815-844-4810 | |
Mrs. Linda G Carley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1405 Reynolds St, Pontiac, IL 61764 Phone: 815-844-2464 Fax: 815-842-1024 | |
Mr. Jeffery C Schade, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 924 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-5411 Fax: 815-844-5318 | |
Ms. Kelsey R Carley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1521 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-2464 |