Kayla Hickok, PT | |
708 W Washington St, Augusta, WI 54722-9085 | |
(715) 286-2488 | |
Not Available |
Full Name | Kayla Hickok |
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Gender | Female |
Speciality | Physical Therapist - Orthopedic |
Location | 708 W Washington St, Augusta, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801573845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 16451-24 (Wisconsin) | Primary |
Provider Name | Hickok Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760424113 PECOS PAC ID: 0446355572 Enrollment ID: O20070419000078 |
Provider Name | Empowerme Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134844848 PECOS PAC ID: 2769723162 Enrollment ID: O20230503002799 |
Mailing Address | Practice Location Address |
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Kayla Hickok, PT 708 W Washington St, P.0. Box 418, Augusta, WI 54722 Ph: (715) 286-2488 | Kayla Hickok, PT 708 W Washington St, Augusta, WI 54722-9085 Ph: (715) 286-2488 |
Amy S Flug, PT,DPT,OSC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 708 W Washington St, Augusta, WI 54722 Phone: 715-286-2488 Fax: 715-286-2493 | |
Mrs. Beth Marie Stange, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 E Brown St, Augusta, WI 54722 Phone: 715-286-2266 |