Mrs Kelly Lee Straus-diedrick, PT is a
Physical Therapist based in Winnebago, Wisconsin. Mrs Kelly Lee Straus-diedrick is licensed to practice in Wisconsin (license number 4444) and her current practice location is
725 Butler Ave, Winnebago, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 235-5100.
NPI number for Mrs Kelly Lee Straus-diedrick is 1083825608 and her current mailing address is W387 Weiler Rd, Kaukauna, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083825608.
Healthcare Provider's Profile
Full Name | Mrs Kelly Lee Straus-diedrick |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 725 Butler Ave, Winnebago, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083825608
- Provider Enumeration Date: 05/25/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kelly Lee Straus-diedrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083825608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 4444 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Lee Straus-diedrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kelly Lee Straus-diedrick, PT W387 Weiler Rd, Kaukauna, WI 54130 Ph: (920) 766-6456 | Mrs Kelly Lee Straus-diedrick, PT 725 Butler Ave, Winnebago, WI 54985 Ph: (920) 235-5100 |
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