| Smd Physical Therapy Pllc | |
|
2771 E Broad St Ste 211, Mansfield, TX 76063-9157 | |
| (682) 518-6263 | |
| (682) 325-3733 |
| Full Name | Smd Physical Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2771 E Broad St Ste 211, Mansfield, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821406125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1179278 (Texas) | Primary |
| Provider Name | Shauna Mcclure Dacus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164698056 PECOS PAC ID: 2163580010 Enrollment ID: I20081021000453 |
| Mailing Address | Practice Location Address |
|---|---|
| Smd Physical Therapy Pllc 2771 E Broad St Ste 211, Mansfield, TX 76063-9157 Ph: (682) 518-6263 | Smd Physical Therapy Pllc 2771 E Broad St Ste 211, Mansfield, TX 76063-9157 Ph: (682) 518-6263 |
Tan Ta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3020 E Broad St Ste 112, Mansfield, TX 76063 Phone: 682-422-7580 | |
Graham Easom, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 E Debbie Ln Ste 105, Mansfield, TX 76063 Phone: 817-483-1746 | |
Carol A Bickers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Debbie Ln, Mansfield, TX 76063 Phone: 877-385-4264 | |
Ian Petri, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2801 E Broad St, Mansfield, TX 76063 Phone: 817-375-5200 | |
Christina Trovela, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1748 E Broad St, Suite 120, Mansfield, TX 76063 Phone: 817-477-4567 Fax: 817-477-4591 | |
Karen Raye Schmidt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2851 Matlock Rd Ste 600, Mansfield, TX 76063 Phone: 817-473-6246 Fax: 817-473-2014 | |
Aubrey Starnes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2771 E Broad St Ste 211, Mansfield, TX 76063 Phone: 682-518-6263 |