| Mrs Karissa Anne Youra, OTR, CLT | |
|
2817 New Pinery Rd Ste 103, Portage, WI 53901-9257 | |
| (608) 745-6290 | |
| (608) 745-6250 |
| Full Name | Mrs Karissa Anne Youra |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2817 New Pinery Rd Ste 103, Portage, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588851075 | NPI | - | NPPES |
| 3886-026 | Other | OT LICENSE | |
| 40894100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3886-026 (Wisconsin) | Primary |
| Provider Name | Divine Savior Healthcare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Karissa Anne Youra, OTR, CLT 2817 New Pinery Rd Ste 103, Portage, WI 53901-9257 Ph: (608) 745-6290 | Mrs Karissa Anne Youra, OTR, CLT 2817 New Pinery Rd Ste 103, Portage, WI 53901-9257 Ph: (608) 745-6290 |
Ruthanne Perkins, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 E Conant St, Portage, WI 53901 Phone: 608-742-9933 | |
Mrs. Tara Ann Tibbe, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290 | |
Kendra Lynn Lacrosse, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Karla Ct, Portage, WI 53901 Phone: 608-745-1655 | |
Kayla Wolff, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2815 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290 | |
Jennifer J Krey, O.T.R. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2805 Hunters Trl, Portage, WI 53901 Phone: 608-745-4347 | |
Kali L Shepard, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290 | |
Claire Meixelsperger, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2815 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 |