Abby Lynn Risse, PT | |
402 1st St, Random Lake, WI 53075-1772 | |
(920) 994-9700 | |
(920) 994-4606 |
Full Name | Abby Lynn Risse |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 402 1st St, Random Lake, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487988432 | NPI | - | NPPES |
NA APPLICATION PEND | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11323-024 (Wisconsin) | Primary |
Provider Name | Columbia St Marys Hospital Milwaukee Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Mailing Address | Practice Location Address |
---|---|
Abby Lynn Risse, PT 402 1st St, Random Lake, WI 53075-1772 Ph: (920) 994-9700 | Abby Lynn Risse, PT 402 1st St, Random Lake, WI 53075-1772 Ph: (920) 994-9700 |
Richard Polk, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-207-3550 Fax: 920-994-4606 | |
Pt Connections Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Carroll St, Random Lake, WI 53075 Phone: 920-994-4515 Fax: 920-994-4583 | |
Mrs. Marlena Elizabeth Salazar, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-207-3550 Fax: 920-994-8466 | |
Mrs. Julie M. Schmitt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-994-9700 | |
Michelle M Grace-jensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Carroll St, Random Lake, WI 53075 Phone: 920-912-0058 | |
Ms. Virginia K Bowen, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 402 First Street, Random Lake, WI 53075 Phone: 920-994-9700 Fax: 920-994-4606 |