| Sport & Spine Clinic Of Fort Atkinson Limited Partnership | |
|
540 Village Walk Ln Ste F, Johnson Creek, WI 53038-9554 | |
| (920) 699-9356 | |
| Not Available |
| Full Name | Sport & Spine Clinic Of Fort Atkinson Limited Partnership |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 540 Village Walk Ln Ste F, Johnson Creek, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093207904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sport & Spine Clinic Of Fort Atkinson Limited Partnership 540 Village Walk Ln Ste F, Johnson Creek, WI 53038-9554 Ph: () - | Sport & Spine Clinic Of Fort Atkinson Limited Partnership 540 Village Walk Ln Ste F, Johnson Creek, WI 53038-9554 Ph: (920) 699-9356 |
Hailey Gurgel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 480 Village Walk Ln Ste H, Johnson Creek, WI 53038 Phone: 262-292-7047 | |
Spencer Agnew, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 Village Walk Ln Ste E, Johnson Creek, WI 53038 Phone: 713-297-7017 |