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Lymphedema Therapy Source

  

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Provider Enrollment Appeal

Thank you for your willingness to help us attain in-network status with Humana & Aetna. Below are downloadable forms you can print, sign & mail to the respective insurance company (an address is provided in the letter). Your efforts will assist us in being able to better serve you.

Aetna request for Provider status
Humana request for Provider status

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Contact Us

309 W. Eldorado Pkwy
Little Elm, Texas 75068-5196
214-422-8265 | 469-579-5034
214-614-9352 fax
info@LTStherapy.com

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