| Kelly J Pauley, PT | |
|
N2950 State Road 67, Lake Geneva, WI 53147-2655 | |
| (262) 245-0535 | |
| Not Available |
| Full Name | Kelly J Pauley |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | N2950 State Road 67, Lake Geneva, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124054226 | NPI | - | NPPES |
| 40316200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5425 024 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly J Pauley, PT N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 | Kelly J Pauley, PT N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 |
Erin E Mahoney, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500 | |
Matthew Allen Hoffman, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500 | |
Madalyn R Douglas, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4980 Fax: 262-245-2248 | |
Kimberly K Dama, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
Mrs. Tara M. Grocholski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500 | |
Carling M. Johns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 800-638-2901 Fax: 262-245-2248 |