| Mrs Michele Jean Ellingsberg, OT | |
|
645 N Church St, Elkhorn, WI 53121-2204 | |
| (262) 741-5549 | |
| (262) 723-6753 |
| Full Name | Mrs Michele Jean Ellingsberg |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 645 N Church St, Elkhorn, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750354734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3951026 (Wisconsin) | Primary |
| Provider Name | Therapy At Home Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477900561 PECOS PAC ID: 0244522217 Enrollment ID: O20160712001760 |
| Provider Name | Muslim Community And Health Center Of Wisconsin Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962850768 PECOS PAC ID: 7618258062 Enrollment ID: O20161227001392 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michele Jean Ellingsberg, OT 645 N Church St, Elkhorn, WI 53121-2204 Ph: (262) 741-5549 | Mrs Michele Jean Ellingsberg, OT 645 N Church St, Elkhorn, WI 53121-2204 Ph: (262) 741-5549 |
Mrs. Kathryn Holtackers, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 638 N Broad St, Elkhorn, WI 53121 Phone: 262-723-4963 | |
Alexandria Read, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1922 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3600 | |
Megan Kathleen Meister, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2076 | |
Taylor Lynn Girard, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 645 N Church St, Elkhorn, WI 53121 Phone: 262-723-4963 | |
Kristin Budde, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 795 E Geneva St, Elkhorn, WI 53121 Phone: 262-723-2636 | |
Lauren Eder, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1922 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3600 | |
Mrs. Susan Marie Lacroix, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 638 N Broad St, Elkhorn, WI 53121 Phone: 262-723-4963 |