| Kyle Kenneth Fenske, DPT | |
|
1601 Saint Francis Ave, Shakopee, MN 55379-3383 | |
| (952) 428-2001 | |
| Not Available |
| Full Name | Kyle Kenneth Fenske |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 1601 Saint Francis Ave, Shakopee, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669111373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4977 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| 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 |
|---|---|
| Kyle Kenneth Fenske, DPT 14324 Allen Dr, Savage, MN 55378-2204 Ph: (952) 994-4135 | Kyle Kenneth Fenske, DPT 1601 Saint Francis Ave, Shakopee, MN 55379-3383 Ph: (952) 428-2001 |
Robert Mahon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1832 Westchester Ln, Shakopee, MN 55379 Phone: 952-220-0487 | |
Andrew William Dehnel, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1601 St Francis Ave. Suite 200, Shakopee, MN 55379 Phone: 952-428-2001 Fax: 952-428-3807 | |
Heidi Jo Whipple Ohlmann, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-403-2001 | |
Jessica Syvrud, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Saint Francis Ave Ste 200, Shakopee, MN 55379 Phone: 952-428-2001 | |
Mrs. Tonya Marie Seaman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379 Phone: 952-403-2001 Fax: 952-403-3807 | |
Mark Ohlmann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8820 Whispering Oaks Trl, Shakopee, MN 55379 Phone: 651-276-3416 | |
Mr. Jeffrey L. Foss, MSPT,ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Saint Francis Ave Ste 140, Shakopee, MN 55379 Phone: 952-403-2011 |