| Tlc Physical Therapy, Llc | |
|
970 Millpond Rd Ste A, Valparaiso, IN 46385-6273 | |
| (219) 707-5470 | |
| (219) 707-5413 |
| Full Name | Tlc Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 970 Millpond Rd Ste A, Valparaiso, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295276152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 05008269A (Indiana) | Primary |
| Provider Name | Tracy Lee Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275573511 PECOS PAC ID: 7012955974 Enrollment ID: I20050420001361 |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Physical Therapy, Llc 970 Millpond Rd, Suite A, Valparaiso, IN 46385-6273 Ph: (219) 707-5470 | Tlc Physical Therapy, Llc 970 Millpond Rd Ste A, Valparaiso, IN 46385-6273 Ph: (219) 707-5470 |
Mr. Jonathan Verano Pilario, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1811 Crimson Dr, Valparaiso, IN 46383 Phone: 847-414-7460 | |
Kristin Larsen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2904 Calumet Ave, Valparaiso, IN 46383 Phone: 219-462-1020 Fax: 219-462-1043 | |
Philip Webster, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 71 Silhavy Rd Ste 121, Valparaiso, IN 46383 Phone: 219-462-0576 Fax: 219-462-0216 | |
Mrs. Kristina Diane Matthews, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 74 Journey Way, Valparaiso, IN 46383 Phone: 219-255-4378 | |
Michael A. Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 71 Silhavy Rd, Suite 121, Valparaiso, IN 46383 Phone: 219-462-0576 Fax: 219-462-0216 | |
Kimberlyn Renea Thomas, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1501 Eisenhower Ave Apt 104, Valparaiso, IN 46383 Phone: 574-806-4038 | |
Franklin Kilian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-983-8300 |