Holly Tix, OT | |
742 Sterbenz Dr, Hudson, WI 54016-8327 | |
(715) 386-2128 | |
(715) 386-6119 |
Full Name | Holly Tix |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 742 Sterbenz Dr, Hudson, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609300698 | NPI | - | NPPES |
5989-26 | Other | WI | WI LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5989-26 (Wisconsin) | Primary |
Provider Name | St Croix Therapy Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669672911 PECOS PAC ID: 8729121413 Enrollment ID: O20100203000334 |
Mailing Address | Practice Location Address |
---|---|
Holly Tix, OT 742 Sterbenz Dr, Hudson, WI 54016-8327 Ph: (715) 386-2128 | Holly Tix, OT 742 Sterbenz Dr, Hudson, WI 54016-8327 Ph: (715) 386-2128 |
Nicole Marie Chisholm, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-690-2600 Fax: 715-381-8131 | |
Caroline Kay Williamson, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-386-2128 | |
Jennifer Marie Cook, BSW, MA OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, St Croix Therapy Inc, Hudson, WI 54016 Phone: 715-386-2128 Fax: 715-386-6119 | |
Caroline Mccleary, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, Hudson, WI 54016 Phone: 715-386-2128 | |
Alecia Lyn Dadez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, Hudson, WI 54016 Phone: 715-386-2128 | |
Malorie Morgan Richer, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-690-2600 | |
Heather May Simmel, MOTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6321 |