Kelly Jo Ketterhagen, MSOTR | |
N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 | |
(262) 255-7050 | |
Not Available |
Full Name | Kelly Jo Ketterhagen |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 19 Years |
Location | N84w17049 Menomonee Ave, Menomonee Falls, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043428287 | NPI | - | NPPES |
40894900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1300X | Occupational Therapist - Human Factors | 4355-026 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Rehabilitation Services Wi Llc | 1658647581 | 109 |
Provider Name | Fox Rehabilitation Services Wi Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309 |
Mailing Address | Practice Location Address |
---|---|
Kelly Jo Ketterhagen, MSOTR 4685 Autumn Trl, Richfield, WI 53076-9419 Ph: () - | Kelly Jo Ketterhagen, MSOTR N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 Ph: (262) 255-7050 |
Mrs. Emily Anne Conger, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-1180 Fax: 262-255-2503 | |
Lauren Marie Boldt, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-1180 Fax: 262-255-1638 | |
Alexander R Hendrickson, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: W129n7055 Northfield Dr, Menomonee Falls, WI 53051 Phone: 608-252-2000 | |
Mrs. Mary Jane Kaczmarek, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-7050 Fax: 262-255-7834 | |
Katelyn Harmon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051 Phone: 262-532-1100 | |
Ms. Jamie L Mitchell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051 Phone: 262-532-1100 Fax: 262-532-1409 |