| Orthopedic & Spine Therapy Of Poplar, Sc | |
|
9675 E Elm Rd, Poplar, WI 54864-9102 | |
| (715) 364-8565 | |
| (715) 364-8574 |
| Full Name | Orthopedic & Spine Therapy Of Poplar, Sc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 9675 E Elm Rd, Poplar, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538170766 | NPI | - | NPPES |
| 4136291001 | Other | WI | AMERICHOICE |
| 41745900 | Medicaid | WI | |
| 82172 | Other | WI | HEALTH PARTNERS |
| CH6558 | Other | WI | RAILROAD MEDICARE |
| 27F97OR | Other | WI | GROUP HEALTH/BCBS OF MN |
| 40419200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic & Spine Therapy Of Poplar, Sc 4000 N. Providence Avenue, Appleton, WI 54913-8018 Ph: (920) 257-2000 | Orthopedic & Spine Therapy Of Poplar, Sc 9675 E Elm Rd, Poplar, WI 54864-9102 Ph: (715) 364-8565 |
Kyle Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9675 E Elm Rd, Poplar, WI 54864 Phone: 715-364-8565 | |
Kerry L. Lahti, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9675 E Elm Rd, Poplar, WI 54864 Phone: 715-364-8565 Fax: 715-364-8574 |