| Rusty Wallman, PT | |
|
7872 Century Boulevard, Chanhassen, MN 55317 | |
| (952) 448-9081 | |
| (952) 448-9088 |
| Full Name | Rusty Wallman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Sports |
| Location | 7872 Century Boulevard, Chanhassen, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508969551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | 6935 (Minnesota) | Primary |
| Provider Name | Osr Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336625326 PECOS PAC ID: 6103176540 Enrollment ID: O20180906001332 |
| Mailing Address | Practice Location Address |
|---|---|
| Rusty Wallman, PT 7872 Century Boulevard, Chanhassen, MN 55317 Ph: (952) 448-9081 | Rusty Wallman, PT 7872 Century Boulevard, Chanhassen, MN 55317 Ph: (952) 448-9081 |
Adam Blaschko, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-5900 | |
Sierra N Wells, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2665 W 78th St, Chanhassen, MN 55317 Phone: 877-609-0123 | |
Jill M Lawrence, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2665 W 78th St, Chanhassen, MN 55317 Phone: 952-835-4512 Fax: 888-425-0398 | |
Patricia Kathleen Oys, P.T. , DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 | |
Ellen Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7872 Century Boulevand, Chanhassen, MN 55317 Phone: 952-448-9081 | |
Jessie Nicole Stevens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7872 Century Blvd, Chanhassen, MN 55317 Phone: 952-448-9081 | |
Morgan Giesen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2665 W 78th St, Chanhassen, MN 55317 Phone: 877-609-0123 |