| Beau Q Johnson, PT | |
|
1303 S Main St, Holmen, WI 54636 | |
| (608) 785-0940 | |
| Not Available |
| Full Name | Beau Q Johnson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1303 S Main St, Holmen, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316029358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5231022-2401 (Utah) | Secondary |
| 225100000X | Physical Therapist | 11650 (Wisconsin) | Primary |
| Provider Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Beau Q Johnson, PT Po Box 1510, Eau Claire, WI 54702-1510 Ph: (608) 785-0940 | Beau Q Johnson, PT 1303 S Main St, Holmen, WI 54636 Ph: (608) 785-0940 |
Steven W Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 S Holmen Dr, Suite 2, Holmen, WI 54636 Phone: 608-526-9888 Fax: 608-526-9965 | |
Dr. Steven R Mccoy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 S Holmen Dr, Suite 2, Holmen, WI 54636 Phone: 608-526-9888 Fax: 608-526-9965 | |
Alexandra Mello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 S Holmen Dr Ste 2, Holmen, WI 54636 Phone: 608-526-9888 | |
Kyle Wright, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1303 S Main St, Holmen, WI 54636 Phone: 608-785-0940 | |
Achieve Solutions, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 106 S Holmen Dr, Suite 2, Holmen, WI 54636 Phone: 608-526-9888 | |
Jennelle Haskins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 S Holmen Dr Ste 2, Holmen, WI 54636 Phone: 608-526-9888 |