| Kidspace Llc | |
|
531 Main St, La Crosse, WI 54601-4022 | |
| (608) 812-8787 | |
| Not Available |
| Full Name | Kidspace Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 531 Main St, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144973462 | NPI | - | NPPES |
| 100153371 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Briana M Harris |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669619946 PECOS PAC ID: 1850770769 Enrollment ID: I20220803003598 |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspace Llc 531 Main St, La Crosse, WI 54601-4022 Ph: (608) 812-8787 | Kidspace Llc 531 Main St, La Crosse, WI 54601-4022 Ph: (608) 812-8787 |
Lauren A Hutchins, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2022 State St, La Crosse, WI 54601 Phone: 270-559-3025 | |
Ashley Rickaway, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Robert L Bobenmoyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kathryn L. Bakke, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Kristin G Tancil, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-791-9768 Fax: 608-791-7124 | |
Mrs. Janet M Manders, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1407 Saint Andrew St Ste 100, La Crosse, WI 54603 Phone: 800-439-7012 | |
Jodi Lynn Langenhorst, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4605 Brickyard Ln, La Crosse, WI 54601 Phone: 608-787-6686 |