| Mark Nicholas Sullivan, PT | |
|
400 Water Ave, St Josephs Rehab Department, Hillsboro, WI 54634 | |
| (608) 489-8260 | |
| (608) 489-8193 |
| Full Name | Mark Nicholas Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 400 Water Ave, Hillsboro, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679653455 | NPI | - | NPPES |
| 5415000450861 | Other | WI | DPI |
| 40475300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5549024 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Nicholas Sullivan, PT 575 Pine Ave, Hillsboro, WI 54634 Ph: (608) 489-2733 | Mark Nicholas Sullivan, PT 400 Water Ave, St Josephs Rehab Department, Hillsboro, WI 54634 Ph: (608) 489-8260 |
Ashley J Thayer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Water Ave, Hillsboro, WI 54634 Phone: 608-489-8260 | |
Dr. Kelly Lynn Dunek, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Water Ave, Hillsboro, WI 54634 Phone: 608-489-8260 Fax: 608-489-8193 | |
Cassidy Anne Sanchez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Water Ave, St Josephs Rehab Department, Hillsboro, WI 54634 Phone: 608-489-8260 Fax: 608-489-8193 | |
Mrs. Dawn Marie Waddell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Water Ave, Hillsboro, WI 54634 Phone: 608-489-8260 Fax: 608-489-8193 | |
Kody Urban Vaassen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Water Ave, Hillsboro, WI 54634 Phone: 608-489-8102 |