Breanna Marie Suess, DPT | |
100 Cty Rd B, Shawano, WI 54166-7072 | |
(715) 526-7370 | |
Not Available |
Full Name | Breanna Marie Suess |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 100 Cty Rd B, Shawano, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003423690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15089-24 (Wisconsin) | Primary |
Provider Name | Sundance Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1073912119 PECOS PAC ID: 7911815329 Enrollment ID: O20140917001161 |
Mailing Address | Practice Location Address |
---|---|
Breanna Marie Suess, DPT N3426 Cty Rd V, Luxemburg, WI 54217-7860 Ph: (920) 680-0915 | Breanna Marie Suess, DPT 100 Cty Rd B, Shawano, WI 54166-7072 Ph: (715) 526-7370 |
Mark Scott Herbert, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N4231 State Highway 22, Shawano, WI 54166 Phone: 715-526-3158 Fax: 715-526-6225 | |
Matthew James Osborne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 Fax: 999-999-9999 | |
Brittany L Perkins, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Johanna Grover, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Paul Michael Theuerkauf, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 N Bartlett St, Shawano, WI 54166 Phone: 616-862-9714 | |
Heather Beverly Sheski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 |