| Impact Physical Therapy, Llc | |
|
485 Clinton Ct, Amherst, WI 54406-9203 | |
| (715) 824-4460 | |
| (715) 824-3278 |
| Full Name | Impact Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 485 Clinton Ct, Amherst, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871066233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Diane Fletcher Klos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609871508 PECOS PAC ID: 5193626422 Enrollment ID: I20040119000528 |
| Provider Name | Hanni R Cowley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013902402 PECOS PAC ID: 2062449127 Enrollment ID: I20050720000407 |
| Provider Name | Matthew D Haberl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366693285 PECOS PAC ID: 8426238932 Enrollment ID: I20110215000620 |
| Provider Name | Marci Jean Skemp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740541846 PECOS PAC ID: 1456508498 Enrollment ID: I20180201002040 |
| Provider Name | Michael J Borst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235517046 PECOS PAC ID: 2860740529 Enrollment ID: I20180813001567 |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Physical Therapy, Llc Po Box 324, Amherst, WI 54406-0324 Ph: (715) 529-3487 | Impact Physical Therapy, Llc 485 Clinton Ct, Amherst, WI 54406-9203 Ph: (715) 824-4460 |
Jacob J Brenner Iii, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Amherst, WI 54406 Phone: 715-529-3424 Fax: 715-251-6236 | |
Mr. Brett Roberts, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 N Main St, Amherst, WI 54406 Phone: 715-529-3487 Fax: 715-251-6236 | |
Nathan Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Amherst, WI 54406 Phone: 715-529-3787 Fax: 715-251-6236 |