| Tessa Traynor, DPT | |
|
100 Becker St, Turtle Lake, WI 54889-9205 | |
| (715) 986-4103 | |
| (715) 986-4128 |
| Full Name | Tessa Traynor |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 100 Becker St, Turtle Lake, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083307235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 16321-24 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clear Lake Physical Therapy And Rehab Specialists Llc | 0749327526 | 4 |
| Provider Name | Clear Lake Physical Therapy And Rehab Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1083845754 PECOS PAC ID: 0749327526 Enrollment ID: O20091027000797 |
| Mailing Address | Practice Location Address |
|---|---|
| Tessa Traynor, DPT P.o. Box 147, Clear Lake, WI 54005-8905 Ph: (715) 263-4103 | Tessa Traynor, DPT 100 Becker St, Turtle Lake, WI 54889-9205 Ph: (715) 986-4103 |
Benjamin John Brenna, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Oak St, Turtle Lake, WI 54889 Phone: 715-986-2022 Fax: 715-986-2236 | |
Marissa Frances Gavioli, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 225 Ostermann Dr, Turtle Lake, WI 54889 Phone: 715-986-2020 | |
Cumberland Memorial Hospital, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 632 Us Highway 8 W, Turtle Lake, WI 54889 Phone: 715-822-4301 Fax: 715-986-2236 |