| Emily Fenton, DPT | |
|
900 E Division St, Wautoma, WI 54982-6944 | |
| (920) 787-6900 | |
| Not Available |
| Full Name | Emily Fenton |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 900 E Division St, Wautoma, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730852120 | NPI | - | NPPES |
| 100177798 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15451-24 (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 |
|---|---|
| Emily Fenton, DPT 900 E Division St, Wautoma, WI 54982-6944 Ph: (920) 787-6900 | Emily Fenton, DPT 900 E Division St, Wautoma, WI 54982-6944 Ph: (920) 787-6900 |
Sean A Tillery, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: N2930 State Road 22, Wautoma, WI 54982 Phone: 920-787-5030 Fax: 920-787-5372 | |
Karen A Aderhold-crass, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 Fax: 920-787-6903 | |
Emily M Marshall, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 | |
Eric A Gulbronson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 | |
Michael S Wingrove, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 |