Renee Anderson, PT | |
212 E Green Bay St Ste A, Shawano, WI 54166-2472 | |
(715) 526-5221 | |
Not Available |
Full Name | Renee Anderson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 212 E Green Bay St Ste A, Shawano, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669648119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9885024 (Wisconsin) | Primary |
Provider Name | Advanced Physical Therapy & Sports Medicine Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407857790 PECOS PAC ID: 2365432903 Enrollment ID: O20040514001027 |
Mailing Address | Practice Location Address |
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Renee Anderson, PT 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 Ph: () - | Renee Anderson, PT 212 E Green Bay St Ste A, Shawano, WI 54166-2472 Ph: (715) 526-5221 |
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: Medicare Enrolled 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 |