| Omni Human Performance Consulting | |
|
1611 Renaissance Blvd, Sturtevant, WI 53177-1741 | |
| (262) 886-2599 | |
| Not Available |
| Full Name | Omni Human Performance Consulting |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1611 Renaissance Blvd, Sturtevant, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013057322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 85145 (Wisconsin) | Primary |
| Provider Name | Keith M Hatch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417081787 PECOS PAC ID: 0244413052 Enrollment ID: I20110331000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Human Performance Consulting 1611 Renaissance Blvd, Sturtevant, WI 53177-1741 Ph: (262) 886-2599 | Omni Human Performance Consulting 1611 Renaissance Blvd, Sturtevant, WI 53177-1741 Ph: (262) 886-2599 |
Lucy Mcauley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8700 Durand Ave, Suite D, Sturtevant, WI 53177 Phone: 877-552-2996 Fax: 866-245-8064 | |
Jenelle Berce, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8700 Durand Ave, Suite 300, Sturtevant, WI 53177 Phone: 262-898-2480 Fax: 866-245-8064 | |
Keith M Hatch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1611 Renaissance Blvd, Sturtevant, WI 53177 Phone: 262-886-2599 Fax: 262-886-5767 | |
Arlene C Adams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 Deer Path, Sturtevant, WI 53177 Phone: 262-835-9250 |