Clear Lake Physical Therapy And Rehab Specialists Llc | |
417 3rd Ave, Clear Lake, WI 54005 | |
(715) 263-4103 | |
(866) 245-8064 |
Full Name | Clear Lake Physical Therapy And Rehab Specialists Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 417 3rd Ave, Clear Lake, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083845754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Provider Name | Emily J Monson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225042013 PECOS PAC ID: 9436105046 Enrollment ID: I20050328000320 |
Provider Name | Deborah S Cuper |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689855355 PECOS PAC ID: 0840370698 Enrollment ID: I20120802000122 |
Provider Name | Kyle Anthony Larson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245853175 PECOS PAC ID: 0042631822 Enrollment ID: I20200603000970 |
Provider Name | Lisa Knauber |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740807403 PECOS PAC ID: 8325464647 Enrollment ID: I20200818001276 |
Provider Name | Rachel Thomas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508533605 PECOS PAC ID: 0547666125 Enrollment ID: I20210907002307 |
Provider Name | Brittany Boss |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700516200 PECOS PAC ID: 3678957057 Enrollment ID: I20220902001238 |
Provider Name | Tessa Traynor |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083307235 PECOS PAC ID: 7719345149 Enrollment ID: I20230616001824 |
Mailing Address | Practice Location Address |
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Clear Lake Physical Therapy And Rehab Specialists Llc Po Box 147, Clear Lake, WI 54005-0147 Ph: (715) 986-4103 | Clear Lake Physical Therapy And Rehab Specialists Llc 417 3rd Ave, Clear Lake, WI 54005 Ph: (715) 263-4103 |
Emily J Monson, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 3rd Ave, Clear Lake, WI 54005 Phone: 715-263-4103 Fax: 866-245-8064 | |
Kyle Anthony Larson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 3rd Avenue, Clear Lake, WI 54005 Phone: 715-263-4103 Fax: 715-263-4110 | |
Mrs. Deborah Sue Cuper, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 3rd Ave., Clear Lake, WI 54005 Phone: 715-263-4103 Fax: 866-245-8064 |