Mrs Katherine Lee Eiden, OTR | |
3312 Terrace Ct, Wausau, WI 54401-4904 | |
(715) 298-2060 | |
Not Available |
Full Name | Mrs Katherine Lee Eiden |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 3312 Terrace Ct, Wausau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194990242 | NPI | - | NPPES |
40768800 | Medicaid | WI | |
2345-26 | Other | WI | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2345-26 (Wisconsin) | Primary |
Provider Name | Phyt Rehab Of Wisconsin Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1366965931 PECOS PAC ID: 5395122196 Enrollment ID: O20220517001830 |
Mailing Address | Practice Location Address |
---|---|
Mrs Katherine Lee Eiden, OTR 3312 Terrace Ct, Wausau, WI 54401-4904 Ph: (715) 298-2060 | Mrs Katherine Lee Eiden, OTR 3312 Terrace Ct, Wausau, WI 54401-4904 Ph: (715) 298-2060 |
Nicholas Aschbrenner, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 225000 Hummingbird Rd, Wausau, WI 54401 Phone: 715-359-6442 Fax: 715-393-0390 | |
Beth Brinkman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2121 | |
Mrs. Alison K Douville, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1010 E Wausau Ave, Wausau, WI 54403 Phone: 715-842-2028 | |
Joshua Nielsen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Danielle Morgan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2121 | |
Kelly Wirkus, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3107 Westhill Dr, Wausau, WI 54401 Phone: 715-842-0575 | |
Mrs. Mary Salsieder, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 E Wausau Ave, Wausau, WI 54403 Phone: 715-842-2028 |