Emily Fenton, DPT | |
900 E Division St, Wautoma, WI 54982-6944 | |
(920) 787-6900 | |
Not Available |
Full Name | Emily Fenton |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 900 E Division St, Wautoma, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730852120 | NPI | - | NPPES |
100177798 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15451-24 (Wisconsin) | Primary |
Provider Name | Aurora Medical Group, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Emily Fenton, DPT 900 E Division St, Wautoma, WI 54982-6944 Ph: (920) 787-6900 | Emily Fenton, DPT 900 E Division St, Wautoma, WI 54982-6944 Ph: (920) 787-6900 |
Karen A Aderhold-crass, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 Fax: 920-787-6903 | |
Emily M Marshall, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 | |
Eric A Gulbronson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 | |
Michael S Wingrove, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 |