| Mrs Mavis Joy Melton, PT | |
|
1280 Chandler Dr, Spooner, WI 54801-2202 | |
| (715) 939-1745 | |
| (715) 939-1557 |
| Full Name | Mrs Mavis Joy Melton |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1280 Chandler Dr, Spooner, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033249610 | NPI | - | NPPES |
| 40364300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6410024 (Wisconsin) | Primary |
| Provider Name | Spooner Health System Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518982628 PECOS PAC ID: 2062310287 Enrollment ID: O20040402000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mavis Joy Melton, PT 1280 Chandler Dr, Spooner, WI 54801-2202 Ph: (715) 939-1745 | Mrs Mavis Joy Melton, PT 1280 Chandler Dr, Spooner, WI 54801-2202 Ph: (715) 939-1745 |
Dr. Erik Lee Larson, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 Service Rd, Spooner, WI 54801 Phone: 715-635-2518 Fax: 866-245-8064 | |
Eliza Devoe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1280 Chandler Dr, Spooner, WI 54801 Phone: 715-939-1624 | |
Paul E Niemuth, PT,DSC,OCS,SCS,ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Ash St, Suite 5, Spooner, WI 54801 Phone: 715-635-2518 Fax: 866-245-8064 | |
Spooner Physical Therapy & Wellness Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 314 Service Rd, Spooner, WI 54801 Phone: 715-635-2518 Fax: 715-635-2672 | |
Amy M Greenfield, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 112 Ash St, Spooner, WI 54801 Phone: 715-635-3979 Fax: 715-635-3990 | |
Danae J Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 819 Ash St, Spooner, WI 54801 Phone: 715-635-1272 Fax: 715-635-3571 |