| Orthopedic & Spine Therapy Of Clintonville, Sc | |
|
205 W Green Bay St, Shawano, WI 54166-2333 | |
| (715) 526-5433 | |
| (715) 526-6930 |
| Full Name | Orthopedic & Spine Therapy Of Clintonville, Sc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 205 W Green Bay St, Shawano, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821105354 | NPI | - | NPPES |
| 128873 | Other | WI | HEALTH PARTNERS |
| 41746200 | Medicaid | WI | |
| 1019870005 | Other | WI | AMERICHOICE |
| CH3959 | Other | WI | RAILROAD MEDICARE |
| 40423300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic & Spine Therapy Of Clintonville, Sc 4000 N. Providence Avenue, Appleton, WI 54913-8018 Ph: (920) 257-2000 | Orthopedic & Spine Therapy Of Clintonville, Sc 205 W Green Bay St, Shawano, WI 54166-2333 Ph: (715) 526-5433 |
Mark Scott Herbert, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N4231 State Highway 22, Shawano, WI 54166 Phone: 715-526-3158 Fax: 715-526-6225 | |
Mr. Ron K Lawrence, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 212 E Green Bay St Ste A, Shawano, WI 54166 Phone: 715-526-5221 | |
Rachel Ann Lohrengel, D-PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 | |
Matthew James Osborne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 Fax: 999-999-9999 | |
Brittany L Perkins, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Erin M Leanna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Johanna Grover, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 |