| Sport & Spine Clinic Lp | |
|
10524 George Ave, Suite 2, Auburndale, WI 54412-9677 | |
| (715) 652-3470 | |
| (715) 652-3473 |
| Full Name | Sport & Spine Clinic Lp |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 10524 George Ave, Auburndale, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043252695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Sport & Spine Clinic Lp 327 N 17th Ave Ste 7, Wausau, WI 54401-4283 Ph: (715) 845-2942 | Sport & Spine Clinic Lp 10524 George Ave, Suite 2, Auburndale, WI 54412-9677 Ph: (715) 652-3470 |
Merrie Louise Degrand, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10524 George Ave, Suite 2, Auburndale, WI 54412 Phone: 715-652-3470 Fax: 715-652-3473 | |
Linda Lee Roth-dolens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10524 George Ave, Suite 2, Auburndale, WI 54412 Phone: 715-652-3470 Fax: 715-652-3473 | |
Nicole Thiel Donnelly, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 10524 George Ave, Auburndale, WI 54412 Phone: 715-652-3470 Fax: 715-898-1815 |