| Kyle Kirst, OTR | |
|
377 W River Woods Pkwy, Glendale, WI 53212-1088 | |
| (414) 964-4777 | |
| Not Available |
| Full Name | Kyle Kirst |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 377 W River Woods Pkwy, Glendale, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790248326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 6482-26 (Wisconsin) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275073363 PECOS PAC ID: 5193036432 Enrollment ID: O20170614002978 |
| Provider Name | Great Lakes Healthcare Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1184282618 PECOS PAC ID: 5395079719 Enrollment ID: O20190730000104 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Kirst, OTR 610 County Road D, Belgium, WI 53004-9722 Ph: (262) 365-4595 | Kyle Kirst, OTR 377 W River Woods Pkwy, Glendale, WI 53212-1088 Ph: (414) 964-4777 |
Emily Lauren Pavelsek, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 W Bender Rd, Glendale, WI 53209 Phone: 414-351-0505 | |
Choua Linda Vang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6700 N Port Washington Rd, Glendale, WI 53217 Phone: 414-351-8850 | |
Rebecca Gehin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1616 W Bender Rd, Glendale, WI 53209 Phone: 414-228-8700 | |
Catherine Ann Nichols, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6263 N Green Bay Ave, Seven Oaks, Glendale, WI 53209 Phone: 414-351-0543 | |
Mrs. Elizabeth Jane Shelton-zielke, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 W Silver Spring Ave, Glendale, WI 53209 Phone: 414-228-8120 | |
Joanne Fetting, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 W Silver Spring Dr, Glendale, WI 53209 Phone: 414-228-8120 Fax: 414-247-8630 | |
Eric Schmidt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1616 W Bender Rd, Glendale, WI 53209 Phone: 414-228-8700 |