| Kelsey J Wagner, DPT | |
|
311 N 3rd Ave, Sturgeon Bay, WI 54235-2401 | |
| (920) 743-0255 | |
| (920) 743-6680 |
| Full Name | Kelsey J Wagner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 311 N 3rd Ave, Sturgeon Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598459125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 16404-24 (Wisconsin) | Primary |
| Provider Name | Bellin Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Provider Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey J Wagner, DPT Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7210 | Kelsey J Wagner, DPT 311 N 3rd Ave, Sturgeon Bay, WI 54235-2401 Ph: (920) 743-0255 |
Ryan Adams, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1300 Egg Harbor Rd Ste 152, Sturgeon Bay, WI 54235 Phone: 920-746-0410 | |
Mrs. Charity Geary, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1449 Green Bay Rd, Sturgeon Bay, WI 54235 Phone: 920-746-7200 | |
Mr. Neil A Masters, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1449 Green Bay Rd Ste 5, Sturgeon Bay, WI 54235 Phone: 920-746-7200 | |
Alex N Smithback, D-PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 311 N 3rd Ave, Sturgeon Bay, WI 54235 Phone: 920-743-0255 Fax: 920-743-6680 | |
Lori B. Dart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 Egg Harbor Rd Ste 108, Sturgeon Bay, WI 54235 Phone: 920-746-0410 | |
Ronie Partosa Remoto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th Ave, Sturgeon Bay, WI 54235 Phone: 920-743-6274 | |
Holly Jean Ray, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 Egg Harbor Rd Ste 108, Sturgeon Bay, WI 54235 Phone: 920-746-0410 |