| Wyatt James Kipp, DPT | |
|
1268 E Henry St Ste 1, Louisville, NE 68037-7025 | |
| (402) 234-3333 | |
| (844) 272-6479 |
| Full Name | Wyatt James Kipp |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 1268 E Henry St Ste 1, Louisville, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144951864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4332 (Nebraska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Witte Physical Therapy | 2365758588 | 7 |
| Provider Name | Witte Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902298730 PECOS PAC ID: 2365758588 Enrollment ID: O20150903000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Wyatt James Kipp, DPT 1268 E Henry St Ste 1, Louisville, NE 68037-7025 Ph: (402) 234-3333 | Wyatt James Kipp, DPT 1268 E Henry St Ste 1, Louisville, NE 68037-7025 Ph: (402) 234-3333 |
Kayla Marie Mammen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1276 Sand Hill Rd, #2, Louisville, NE 68037 Phone: 402-234-3333 | |
Christine Marie Beune, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1268 E Henry St Ste 1, Louisville, NE 68037 Phone: 402-234-3333 | |
Natosha Siemek, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1268 E Henry Street. Suite 1, Louisville, NE 68037 Phone: 402-234-3333 | |
Daniel James Witte, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1268 E Henry Street, Suite 1, Louisville, NE 68037 Phone: 402-234-3333 Fax: 844-272-6479 | |
Kaley Draper, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 W 5th St, Louisville, NE 68037 Phone: 402-234-2125 | |
Jerry Joseph Bockman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1268 E Henry St, Louisville, NE 68037 Phone: 402-234-3333 |