| Body Renovation Physical Therapy Sc | |
|
2020 Cheyenne Ct, Grafton, WI 53024-9368 | |
| (262) 375-1075 | |
| (262) 375-4975 |
| Full Name | Body Renovation Physical Therapy Sc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2020 Cheyenne Ct, Grafton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871664243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Richard T Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225103476 PECOS PAC ID: 7517868839 Enrollment ID: I20040119000454 |
| Provider Name | Colleen A Wilkens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245279967 PECOS PAC ID: 5890752331 Enrollment ID: I20041215000967 |
| Provider Name | Brian C Gajafsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245301613 PECOS PAC ID: 8820194350 Enrollment ID: I20070430000598 |
| Provider Name | Michele Rae Barney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184666190 PECOS PAC ID: 5092803742 Enrollment ID: I20071114000398 |
| Provider Name | Jessica L Davies |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619238813 PECOS PAC ID: 7618124447 Enrollment ID: I20120829000380 |
| Provider Name | Peter Arndt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427308931 PECOS PAC ID: 6507016102 Enrollment ID: I20121017000033 |
| Provider Name | Matthew C Kinkade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699108431 PECOS PAC ID: 1951536416 Enrollment ID: I20131108001540 |
| Provider Name | Jessica L Blievernicht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700149358 PECOS PAC ID: 9133379944 Enrollment ID: I20140806000730 |
| Provider Name | Penelope M Van Osten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205949054 PECOS PAC ID: 3678985173 Enrollment ID: I20201207001266 |
| Provider Name | Nina M Lautz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497328835 PECOS PAC ID: 7416355979 Enrollment ID: I20211013002974 |
| Provider Name | Alyssa Pollastrini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649747270 PECOS PAC ID: 5193069441 Enrollment ID: I20220105000223 |
| Provider Name | Megan Adrienne Westling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225385784 PECOS PAC ID: 9436307576 Enrollment ID: I20240223000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Body Renovation Physical Therapy Sc 2020 Cheyenne Ct, Grafton, WI 53024-9368 Ph: (262) 375-1075 | Body Renovation Physical Therapy Sc 2020 Cheyenne Ct, Grafton, WI 53024-9368 Ph: (262) 375-1075 |
Anne R. Harley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-376-6020 | |
Jessica Lynn Meeusen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2020 Cheyenne Ct, Grafton, WI 53024 Phone: 262-375-1075 Fax: 262-375-4975 | |
Christopher David Potter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2700 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 Phone: 262-474-0063 Fax: 262-222-6281 | |
Mrs. Lauren Monticelli, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2700 | |
Ms. Abbey Lynn Valentine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-4888 | |
Charise L. Kelm, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6032 |