| Mrs Danielle Nicole Larson, MA CCC-SLP | |
|
314 Service Rd, Spooner, WI 54801-6200 | |
| (715) 635-2518 | |
| (866) 245-8064 |
| Full Name | Mrs Danielle Nicole Larson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 314 Service Rd, Spooner, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457696726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3667-154 (Wisconsin) | Primary |
| Provider Name | Spooner Physical Therapy & Wellness Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1093226011 PECOS PAC ID: 0840558581 Enrollment ID: O20171229001101 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Danielle Nicole Larson, MA CCC-SLP 314 Service Rd, Spooner, WI 54801-6200 Ph: (715) 635-2518 | Mrs Danielle Nicole Larson, MA CCC-SLP 314 Service Rd, Spooner, WI 54801-6200 Ph: (715) 635-2518 |
Haley Welsch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 County Highway A, Spooner, WI 54801 Phone: 715-635-2171 | |
Jessica Marker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Cty Hwy A, Spooner, WI 54801 Phone: 715-635-2171 | |
Ms. Betsy J Salquist, CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N5653 Ironwood Dr, Spooner, WI 54801 Phone: 715-520-7999 |