| Prestige Therapy And Wellness Llc | |
|
1604 Legend Hill Ln, Waukesha, WI 53189-8088 | |
| (262) 880-4664 | |
| (262) 447-0850 |
| Full Name | Prestige Therapy And Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1604 Legend Hill Ln, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548549397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10950-24 (Wisconsin) | Primary |
| Provider Name | Preston Duane Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811276660 PECOS PAC ID: 1759554629 Enrollment ID: I20111111000033 |
| Provider Name | Matthew C Kinkade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699108431 PECOS PAC ID: 1951536416 Enrollment ID: I20131108001540 |
| Provider Name | Tasha D Vinson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407186653 PECOS PAC ID: 4880992973 Enrollment ID: I20160405001913 |
| Provider Name | Derek James Christiansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730726118 PECOS PAC ID: 5597190199 Enrollment ID: I20200108001228 |
| Provider Name | Jane Frances Dionne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568009942 PECOS PAC ID: 1153756663 Enrollment ID: I20200110000294 |
| Provider Name | Erin Ann Paul |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386281764 PECOS PAC ID: 0446685382 Enrollment ID: I20200122002631 |
| Provider Name | Abigail Mary Moore Mcguire |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104458074 PECOS PAC ID: 5799112173 Enrollment ID: I20200225000271 |
| Provider Name | Savannah Beth Gutsch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679173504 PECOS PAC ID: 8820401086 Enrollment ID: I20210107000117 |
| Provider Name | Shelby Lynn Otto |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548830995 PECOS PAC ID: 0446653547 Enrollment ID: I20210727003497 |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Therapy And Wellness Llc 1604 Legend Hill Ln, Waukesha, WI 53189-8088 Ph: (262) 880-4664 | Prestige Therapy And Wellness Llc 1604 Legend Hill Ln, Waukesha, WI 53189-8088 Ph: (262) 880-4664 |
Emily Nicole Salske, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1805 Kensington Dr, Waukesha, WI 53188 Phone: 262-548-1457 | |
Marilynn Toepel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: S11w29667 Summit Ave, Waukesha, WI 53188 Phone: 262-565-6124 | |
Joanna Totten, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W239n1812 Rockwood Dr Ste 100, Prohealth Care Medical Associates Inc, Waukesha, WI 53188 Phone: 262-523-0310 Fax: 262-532-9587 | |
Ms. Erin E Doxtator, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Delafield St, Suite 120, Waukesha, WI 53188 Phone: 262-521-9762 Fax: 262-521-1091 | |
Jennifer Bultman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21075 Swenson Dr, Suite 600, Waukesha, WI 53186 Phone: 262-798-8646 Fax: 262-798-8640 | |
Greta Cordova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-1000 | |
Mrs. Marlene Pettit Bott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 N University Dr, Waukesha, WI 53188 Phone: 262-524-6400 |