| Sport & Spine Physical Therapy Of Winona, Inc | |
|
1512 Service Dr, Winona, MN 55987-3803 | |
| (507) 474-6900 | |
| (507) 474-0502 |
| Full Name | Sport & Spine Physical Therapy Of Winona, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1512 Service Dr, Winona, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467510750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Dennis Mcentaffer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750352902 PECOS PAC ID: 5294783437 Enrollment ID: I20050105000185 |
| Provider Name | Jessica Marie Wenzlaff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609333822 PECOS PAC ID: 3375884000 Enrollment ID: I20220316002619 |
| Provider Name | Mackenzie C Davidge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306584339 PECOS PAC ID: 8022491190 Enrollment ID: I20221121000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Sport & Spine Physical Therapy Of Winona, Inc 1512 Service Dr, Winona, MN 55987-3803 Ph: (507) 474-6900 | Sport & Spine Physical Therapy Of Winona, Inc 1512 Service Dr, Winona, MN 55987-3803 Ph: (507) 474-6900 |
Kristin Louise Lawson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 E Sarnia St, Winona, MN 55987 Phone: 507-494-5761 Fax: 507-453-3791 | |
Bradley Allen Heineck, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Shady Oak Ct, Winona, MN 55987 Phone: 507-454-0000 Fax: 507-454-6724 | |
Eric Norman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1122 W Highway 61, Winona, MN 55987 Phone: 507-615-0600 | |
Dr. Michael Kurek, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1512 W Service Dr, Winona, MN 55987 Phone: 507-474-6900 | |
Mrs. Kelly Marie Ripp, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 W Service Dr, Winona, MN 55987 Phone: 507-474-6900 | |
Mrs. Stacey Ann Keller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 W Service Dr, Winona, MN 55987 Phone: 507-474-6900 | |
Mackenzie Christine Lyttle, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1512 W Service Dr, Winona, MN 55987 Phone: 507-474-6900 |