| Kevin P Watts, D-PT | |
|
218 S Hwy 141, Crivitz, WI 54114-1677 | |
| (715) 854-7761 | |
| (715) 854-7785 |
| Full Name | Kevin P Watts |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 218 S Hwy 141, Crivitz, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346755899 | NPI | - | NPPES |
| 14088-24 | Other | WI | WISCONSIN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14088-24 (Wisconsin) | Primary |
| Provider Name | Park Nicollet Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Provider Name | Tria Orthopaedic Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin P Watts, D-PT Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222 | Kevin P Watts, D-PT 218 S Hwy 141, Crivitz, WI 54114-1677 Ph: (715) 854-7761 |
Nathan M Tanney, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 218 S Hwy 141, Crivitz, WI 54114 Phone: 715-854-7761 Fax: 715-854-7785 | |
Newcare Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 Main Avenue, Crivitz, WI 54114 Phone: 715-854-2717 Fax: 715-854-2554 | |
Paul James Leverson, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 112 N Us Highway 141, Crivitz, WI 54114 Phone: 715-754-3940 | |
Miss Taylor Alexis Londo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 218 S Hwy 141, Crivitz, WI 54114 Phone: 715-854-7761 Fax: 715-854-7785 | |
Seth Daniel Majerus, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 218 S Hwy 141, Crivitz, WI 54114 Phone: 715-854-7477 Fax: 715-854-7785 | |
Abigail Rae Barley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 N Us Highway 141, Crivitz, WI 54114 Phone: 715-854-3940 |