| Sport Plus Physical Therapy Llc | |
|
595 Peterson Drive, Phillips, WI 54555 | |
| (715) 339-3113 | |
| (715) 339-3117 |
| Full Name | Sport Plus Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 595 Peterson Drive, Phillips, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730244856 | NPI | - | NPPES |
| 40384000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9889024 (Wisconsin) | Primary |
| Provider Name | Melanie M Eggebrecht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598753709 PECOS PAC ID: 8921164849 Enrollment ID: I20090302000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Sport Plus Physical Therapy Llc N8237 State Hwy 13, Phillips, WI 54555 Ph: (715) 339-6140 | Sport Plus Physical Therapy Llc 595 Peterson Drive, Phillips, WI 54555 Ph: (715) 339-3113 |
Andrew M. Rawlsky, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 603 Peterson Dr, Phillips, WI 54555 Phone: 715-339-3113 | |
Dr. Carli Marie Winter, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 603 Peterson Dr, Phillips, WI 54555 Phone: 715-339-3103 | |
Mr. Jonathan Paul Rahmer, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Peterson Dr, Phillips, WI 54555 Phone: 715-339-3113 | |
Melanie M Eggebrecht, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 187 S Lake Avenue, Phillips, WI 54555 Phone: 715-339-6140 Fax: 888-412-1366 | |
Aspirus Extended Services, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 603 Peterson Dr, Phillips, WI 54555 Phone: 715-339-3103 Fax: 715-339-3153 |