| Derek James Christiansen, | |
|
1604 Legend Hill Ln, Waukesha, WI 53189-8088 | |
| (262) 880-4664 | |
| (262) 447-0850 |
| Full Name | Derek James Christiansen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1604 Legend Hill Ln, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730726118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12576-24 (Wisconsin) | Primary |
| Provider Name | Prestige Therapy And Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1548549397 PECOS PAC ID: 2769655778 Enrollment ID: O20111107000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek James Christiansen, 1604 Legend Hill Ln, Waukesha, WI 53189-8088 Ph: (262) 880-4664 | Derek James Christiansen, 1604 Legend Hill Ln, Waukesha, WI 53189-8088 Ph: (262) 880-4664 |
Emily Nicole Salske, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1805 Kensington Dr, Waukesha, WI 53188 Phone: 262-548-1457 | |
Marilynn Toepel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: S11w29667 Summit Ave, Waukesha, WI 53188 Phone: 262-565-6124 | |
Joanna Totten, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W239n1812 Rockwood Dr Ste 100, Prohealth Care Medical Associates Inc, Waukesha, WI 53188 Phone: 262-523-0310 Fax: 262-532-9587 | |
Ms. Erin E Doxtator, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Delafield St, Suite 120, Waukesha, WI 53188 Phone: 262-521-9762 Fax: 262-521-1091 | |
Jennifer Bultman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21075 Swenson Dr, Suite 600, Waukesha, WI 53186 Phone: 262-798-8646 Fax: 262-798-8640 | |
Greta Cordova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-1000 | |
Sixteenth Street Community Health Centers Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 E North St, Waukesha, WI 53188 Phone: 414-672-1353 |