| Grant Wishon, | |
|
109 W Mclane St, Osceola, IA 50213-1419 | |
| (641) 342-1470 | |
| Not Available |
| Full Name | Grant Wishon |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 109 W Mclane St, Osceola, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730927682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 126455 (Iowa) | Primary |
| Provider Name | 21st Century Rehab Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114963154 PECOS PAC ID: 1456250448 Enrollment ID: O20250411001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Wishon, Po Box 461, Nevada, IA 50201-0461 Ph: () - | Grant Wishon, 109 W Mclane St, Osceola, IA 50213-1419 Ph: (641) 342-1470 |
Katherine Doris Hensley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 109 W Mclane St, Osceola, IA 50213 Phone: 641-342-1470 Fax: 641-342-1219 | |
Sadie Teno, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 W Mclane St, Osceola, IA 50213 Phone: 641-342-1470 Fax: 641-342-1219 | |
Eric Gross, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 S Fillmore St, Osceola, IA 50213 Phone: 641-342-5340 | |
Gabriel Dubberke, Physical Therapist Medicare: Medicare Enrolled Practice Location: 109 W Mclane St, Osceola, IA 50213 Phone: 641-342-1470 | |
Brady Buchheit, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 W Mclane St, Osceola, IA 50213 Phone: 641-342-1470 | |
Dillon Anderson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 W Mclane St, Osceola, IA 50213 Phone: 641-342-1470 |