Brett Joseph Ladsten, PT, DPT | |
1050 Division St, Mauston, WI 53948-1931 | |
(608) 847-6161 | |
Not Available |
Full Name | Brett Joseph Ladsten |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1050 Division St, Mauston, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457099780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15790-24 (Wisconsin) | Primary |
Provider Name | Northwoods Sport & Hand Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609966407 PECOS PAC ID: 9032399118 Enrollment ID: O20110311000809 |
Mailing Address | Practice Location Address |
---|---|
Brett Joseph Ladsten, PT, DPT 650 Evergreen Trl, Portage, WI 53901-1460 Ph: (608) 864-0128 | Brett Joseph Ladsten, PT, DPT 1050 Division St, Mauston, WI 53948-1931 Ph: (608) 847-6161 |
Mary Elizabeth Emerson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
Nicole Saad, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-1422 | |
Miss Tacy Camenga, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-1429 | |
Nathan Paul Heggeseth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Mcevoy St, Mauston, WI 53948 Phone: 608-847-5100 Fax: 608-847-5110 | |
Meghan Mcinnis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-1290 | |
Karen M Patton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
Rachel Peer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-1422 |