Healthcare Provider Details

I. General information

NPI: 1851108310
Provider Name (Legal Business Name): LEXUS MCALISTER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3572 HESPER RD
BILLINGS MT
59102-6891
US

IV. Provider business mailing address

24 BUTTERWEED RD
BLUFFTON SC
29910-8067
US

V. Phone/Fax

Practice location:
  • Phone: 406-413-6200
  • Fax:
Mailing address:
  • Phone: 908-635-1195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12661
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: