| Havala Mayer, | |
|
3501 Park Lane Dr, La Crosse, WI 54601-7747 | |
| (608) 789-4800 | |
| Not Available |
| Full Name | Havala Mayer |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3501 Park Lane Dr, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578333027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Moving Mountains Therapy Center, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528526894 PECOS PAC ID: 6709298276 Enrollment ID: O20201208001336 |
| Mailing Address | Practice Location Address |
|---|---|
| Havala Mayer, 155 N California St Apt 302, Missoula, MT 59801-1763 Ph: (715) 401-1383 | Havala Mayer, 3501 Park Lane Dr, La Crosse, WI 54601-7747 Ph: (608) 789-4800 |
Lauren A Hutchins, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2022 State St, La Crosse, WI 54601 Phone: 270-559-3025 | |
Ashley Rickaway, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Jenna Marie Timm, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Robert L Bobenmoyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kathryn L. Bakke, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Kristin G Tancil, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-791-9768 Fax: 608-791-7124 | |
Mrs. Janet M Manders, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1407 Saint Andrew St Ste 100, La Crosse, WI 54603 Phone: 800-439-7012 |