| Shelby Landrum, PT | |
|
1585 3rd St, Fort Johnson, LA 71459-5102 | |
| (337) 531-3207 | |
| Not Available |
| Full Name | Shelby Landrum |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1585 3rd St, Fort Johnson, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669184487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11421 (South Carolina) | Primary |
| Provider Name | Grace Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356544415 PECOS PAC ID: 1557452331 Enrollment ID: O20070808000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Landrum, PT 413 Durwin Way, Columbia, SC 29229-7212 Ph: (706) 818-5633 | Shelby Landrum, PT 1585 3rd St, Fort Johnson, LA 71459-5102 Ph: (337) 531-3207 |
Marco I Mirnics, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Johnson, LA 71459 Phone: 615-609-1424 | |
Caleb O Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Johnson, LA 71459 Phone: 337-531-3119 | |
Allison Elizabeth Hubner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Johnson, LA 71459 Phone: 337-531-3203 | |
Gunner Coleman, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Johnson, LA 71459 Phone: 337-531-3517 |