| Back In Action Rehabilitation S.c. | |
|
1057 Fond Du Lac Ave, Kewaskum, WI 53040-9495 | |
| (262) 626-6700 | |
| Not Available |
| Full Name | Back In Action Rehabilitation S.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1057 Fond Du Lac Ave, Kewaskum, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053512095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Back In Action Rehabilitation S.c. 103 S Pioneer Rd # 100, Fond Du Lac, WI 54935-3871 Ph: (920) 922-7776 | Back In Action Rehabilitation S.c. 1057 Fond Du Lac Ave, Kewaskum, WI 53040-9495 Ph: (262) 626-6700 |
Mitchell Kannal, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1701 Fond Du Lac Ave, Kewaskum, WI 53040 Phone: 262-626-4616 | |
Alysha Claflin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1057 Fond Du Lac Ave, Kewaskum, WI 53040 Phone: 920-922-7776 |