Christine M Wahlstrom, PT | |
235 E State St, Saint Croix Falls, WI 54024-4117 | |
(715) 483-3221 | |
(715) 483-0507 |
Full Name | Christine M Wahlstrom |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 235 E State St, Saint Croix Falls, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619125556 | NPI | - | NPPES |
402451000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5164-024 (Wisconsin) | Primary |
Provider Name | St. Croix Regional Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
Mailing Address | Practice Location Address |
---|---|
Christine M Wahlstrom, PT 1118 River Rd, Dresser, WI 54009-4202 Ph: () - | Christine M Wahlstrom, PT 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 |
Emanuele Marchisio, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 750 E Louisiana St, Saint Croix Falls, WI 54024 Phone: 715-438-2713 | |
Mollisa A Noel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Nicole Van Susteren, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0283 | |
Luke Hayes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 750 E Louisiana St, Saint Croix Falls, WI 54024 Phone: 715-483-9815 | |
Emily Ryan Chapman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3261 Fax: 715-483-0507 | |
Brittani Jean Brennan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 |