| Sydney Layne Gustaf, DPT | |
|
1119 John Deere Cir Ste C, Madison, SD 57042-7347 | |
| (605) 556-0175 | |
| (605) 556-0175 |
| Full Name | Sydney Layne Gustaf |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1119 John Deere Cir Ste C, Madison, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396524369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6004 (South Dakota) | Primary |
| Provider Name | Madison Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1508375106 PECOS PAC ID: 6204194962 Enrollment ID: O20180111002198 |
| Mailing Address | Practice Location Address |
|---|---|
| Sydney Layne Gustaf, DPT Po Box 3276, Evansville, IN 47731-3276 Ph: (812) 491-1390 | Sydney Layne Gustaf, DPT 1119 John Deere Cir Ste C, Madison, SD 57042-7347 Ph: (605) 556-0175 |
Cooper Robert Hausmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 323 Sw 10th St, Madison, SD 57042 Phone: 605-256-6551 Fax: 605-256-6449 | |
Beth Ann King, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 411 Se 10th St Ste 103, Madison, SD 57042 Phone: 605-556-0175 Fax: 605-556-0162 | |
Christine Blasius Sahr, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 323 Sw 10th St, Madison, SD 57042 Phone: 605-256-6551 Fax: 605-256-6469 | |
Karla Joy Vandenbosch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1423 Ne 4th St, Madison, SD 57042 Phone: 605-256-9053 | |
Ms. Christina Jo Tietjen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 323 Sw 10th St, Madison, SD 57042 Phone: 605-256-8915 Fax: 605-256-8983 | |
Paul Bindert, Physical Therapist Medicare: Medicare Enrolled Practice Location: 323 Sw 10th St, Madison, SD 57042 Phone: 605-256-8915 |