| Mrs Katherine Lee Eiden, OTR | |
|
3312 Terrace Ct, Wausau, WI 54401-4904 | |
| (715) 298-2060 | |
| Not Available |
| Full Name | Mrs Katherine Lee Eiden |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3312 Terrace Ct, Wausau, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194990242 | NPI | - | NPPES |
| 40768800 | Medicaid | WI | |
| 2345-26 | Other | WI | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2345-26 (Wisconsin) | Primary |
| Provider Name | Phyt Rehab Of Wisconsin Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366965931 PECOS PAC ID: 5395122196 Enrollment ID: O20220517001830 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katherine Lee Eiden, OTR 3312 Terrace Ct, Wausau, WI 54401-4904 Ph: (715) 298-2060 | Mrs Katherine Lee Eiden, OTR 3312 Terrace Ct, Wausau, WI 54401-4904 Ph: (715) 298-2060 |
Nicholas Aschbrenner, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 225000 Hummingbird Rd, Wausau, WI 54401 Phone: 715-359-6442 Fax: 715-393-0390 | |
Beth Brinkman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2121 | |
Mrs. Alison K Douville, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1010 E Wausau Ave, Wausau, WI 54403 Phone: 715-842-2028 | |
Joshua Nielsen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Orthopaedic Centers Of Wisconsin, S.c. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3901 Stewart Ave, Wausau, WI 54401 Phone: 715-841-0002 Fax: 715-841-0003 | |
Danielle Morgan, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 333 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2121 | |
Kelly Wirkus, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3107 Westhill Dr, Wausau, WI 54401 Phone: 715-842-0575 |