Dr Jacob Dorshorst, DPT | |
1430 Main St, Onalaska, WI 54650-2835 | |
(608) 351-3049 | |
Not Available |
Full Name | Dr Jacob Dorshorst |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1430 Main St, Onalaska, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639804685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 15821-24 (Wisconsin) | Primary |
Provider Name | Dynamic Pt Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245948389 PECOS PAC ID: 3779948302 Enrollment ID: O20230503001644 |
Mailing Address | Practice Location Address |
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Dr Jacob Dorshorst, DPT 1430 Main St, Onalaska, WI 54650-2835 Ph: () - | Dr Jacob Dorshorst, DPT 1430 Main St, Onalaska, WI 54650-2835 Ph: (608) 351-3049 |
Mrs. Danialle Draeger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-392-5004 | |
Scott A. Bossman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-782-7300 Fax: 608-775-4429 | |
Dr. Nicole Michelle Dockendorff, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 | |
Derek James Scheevel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8600 | |
Megan Marie Morris Homuth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 | |
Nancy Ellen Reithel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Westwood Drive, Onalaska, WI 54650 Phone: 608-783-6934 | |
Jonathan S Straker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3111 Gundersen Drive, Onalaska, WI 54650 Phone: 608-782-7300 |