| Devon Anderson, PT | |
|
916 E Clifford St, Plymouth, WI 53073-2468 | |
| (510) 367-0520 | |
| Not Available |
| Full Name | Devon Anderson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 916 E Clifford St, Plymouth, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437827458 | NPI | - | NPPES |
| 100183367 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15745-24 (Wisconsin) | Primary |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Devon Anderson, PT N7310 Highview Rd, Plymouth, WI 53073-2787 Ph: () - | Devon Anderson, PT 916 E Clifford St, Plymouth, WI 53073-2468 Ph: (510) 367-0520 |
Mrs. Diane Rochelle Kaestner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 E Clifford St, Plymouth, WI 53073 Phone: 920-892-2654 | |
Mr. Nicholas Brandon Bier, DPT, LAT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 Kiley Way, Plymouth, WI 53073 Phone: 920-449-7000 | |
Katelyn Witte, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Kiley Way, Plymouth, WI 53073 Phone: 920-449-7120 | |
Jenna M Chaussee, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Kiley Way, Plymouth, WI 53073 Phone: 920-449-7000 | |
Sarah A Wegner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 825 Walton Dr, Plymouth, WI 53073 Phone: 920-892-4322 | |
Andrea S Seifert, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 Kiley Way, Plymouth, WI 53073 Phone: 920-449-7000 Fax: 920-449-7088 | |
Mrs. Peggy L. Huhn, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1926 Eastern Ave, Plymouth, WI 53073 Phone: 920-893-6070 Fax: 920-893-6080 |