| Spine And Sport Physical Therapy Of Waupaca Llc | |
|
1439 Churchill St Ste 102, Waupaca, WI 54981-2089 | |
| (920) 538-3670 | |
| (715) 256-9404 |
| Full Name | Spine And Sport Physical Therapy Of Waupaca Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1439 Churchill St Ste 102, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770768046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Michael R Koch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225058878 PECOS PAC ID: 7315996220 Enrollment ID: I20050118000903 |
| Provider Name | Elizabeth A Melcher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679820716 PECOS PAC ID: 5890940324 Enrollment ID: I20130306000329 |
| Provider Name | Morgan R Yeska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316508807 PECOS PAC ID: 7214265743 Enrollment ID: I20190822000453 |
| Provider Name | Kelsey Mae Abendroth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548783228 PECOS PAC ID: 3072903335 Enrollment ID: I20211201001593 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine And Sport Physical Therapy Of Waupaca Llc 1439 Churchill St Ste 102, Waupaca, WI 54981-2089 Ph: (920) 538-3670 | Spine And Sport Physical Therapy Of Waupaca Llc 1439 Churchill St Ste 102, Waupaca, WI 54981-2089 Ph: (920) 538-3670 |
Mr. Bruce Allen Pierson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1053 Fax: 715-258-1153 | |
Dean Jerome Sondrol, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 Grand Seasons Dr Ste 1, Waupaca, WI 54981 Phone: 715-942-2553 Fax: 715-258-1153 | |
Bonnie J Sperberg, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1226 Berlin St, Waupaca, WI 54981 Phone: 715-942-1422 | |
Mrs. Kasey Louise Tessar, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Churchill St, Waupaca, WI 54981 Phone: 715-258-8131 | |
Michael R. Koch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1948 Godfrey Dr, Waupaca, WI 54981 Phone: 715-340-5383 Fax: 715-258-7773 | |
Carissa Melk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1053 | |
Nicole Barton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Churchill St, Waupaca, WI 54981 Phone: 715-258-8131 |