| Innersparks,llc | |
|
1468 N High Point Rd, Middleton, WI 53562-3683 | |
| (608) 836-0305 | |
| Not Available |
| Full Name | Innersparks,llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 1468 N High Point Rd, Middleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053942110 | NPI | - | NPPES |
| 26-1173 | Other | WI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Andrea L Carvin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801184809 PECOS PAC ID: 2466882725 Enrollment ID: I20200429000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Innersparks,llc 6310 Stonefield Rd, Middleton, WI 53562-3839 Ph: (608) 516-7087 | Innersparks,llc 1468 N High Point Rd, Middleton, WI 53562-3683 Ph: (608) 836-0305 |
Katie A. Wodziak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9401 Old Sauk Rd, Middleton, WI 53562 Phone: 608-203-8102 | |
Kelsey Leigh Kornaus, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9401 Old Sauk Rd, Middleton, WI 53562 Phone: 608-203-8102 | |
Mary Jo Rajek, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2030 Pinehurst Dr, Middleton, WI 53562 Phone: 608-203-2273 | |
Jacob L Perlman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6201 Elmwood Ave, Middleton, WI 53562 Phone: 651-274-8706 | |
Allison Conrad, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6630 University Ave, Middleton, WI 53562 Phone: 608-263-8410 | |
Sarah Bentrud, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7106 South Ave, Middleton, WI 53562 Phone: 608-829-9000 |