| Michelle Lafave, DPT | |
|
102 W Fulton St, Edgerton, WI 53534-1839 | |
| (608) 561-7733 | |
| Not Available |
| Full Name | Michelle Lafave |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 102 W Fulton St, Edgerton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679265839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 16314-24 (Wisconsin) | Primary |
| Provider Name | Forward Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1942774252 PECOS PAC ID: 9032451117 Enrollment ID: O20190422002285 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Lafave, DPT 102 W Fulton St, Edgerton, WI 53534-1839 Ph: () - | Michelle Lafave, DPT 102 W Fulton St, Edgerton, WI 53534-1839 Ph: (608) 561-7733 |
Paul Herrlinger, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 Stoughton Rd, Edgerton, WI 53534 Phone: 608-884-3441 | |
Melissa Castillo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 W Fulton St, Edgerton, WI 53534 Phone: 608-561-7733 | |
Cassy M Cooley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 313 Stoughton Rd, Edgerton, WI 53534 Phone: 608-884-1390 Fax: 608-884-1393 | |
Mr. Adam Paljieg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 313 Stoughton Rd, Edgerton, WI 53534 Phone: 608-884-1330 | |
Rachel E Snow, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 Stoughton Rd, Edgerton, WI 53534 Phone: 608-884-1330 | |
Jedd P Wellenkotter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 W Fulton St, Edgerton, WI 53534 Phone: 608-290-5883 | |
Kristen Wellenkotter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 W Fulton St, Edgerton, WI 53534 Phone: 608-561-7733 Fax: 608-561-7763 |