| Robert Ihssen, MS, CCC-SLP | |
|
500 Grant Ave, Omro, WI 54963-1342 | |
| (920) 685-2755 | |
| Not Available |
| Full Name | Robert Ihssen |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 500 Grant Ave, Omro, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336791342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4673 (Wisconsin) | Primary |
| Provider Name | Oasis Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386381598 PECOS PAC ID: 8325427974 Enrollment ID: O20220706002370 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Ihssen, MS, CCC-SLP 500 Grant Ave, Omro, WI 54963-1342 Ph: () - | Robert Ihssen, MS, CCC-SLP 500 Grant Ave, Omro, WI 54963-1342 Ph: (920) 685-2755 |
Emily Josephine Bulow, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Grant Ave, Omro, WI 54963 Phone: 920-685-2755 | |
Rachel L Mcinnis, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Grant Ave, Omro, WI 54963 Phone: 920-246-5076 | |
Mrs. Kimberly Rae Bartley, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 S. Grant Avenue, Omro, WI 54963 Phone: 920-685-2755 | |
Anita Lee-bjerke, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Grant Ave, Omro, WI 54963 Phone: 920-859-0269 Fax: 920-859-0279 |