| Form & Fitness | |
|
11053 N Port Washington Rd, Mequon, WI 53092-5032 | |
| (262) 241-3449 | |
| (262) 241-5229 |
| Full Name | Form & Fitness |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 11053 N Port Washington Rd, Mequon, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063612067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Form & Fitness 11053 N Port Washington Rd, Mequon, WI 53092-5032 Ph: (262) 241-3449 | Form & Fitness 11053 N Port Washington Rd, Mequon, WI 53092-5032 Ph: (262) 241-3449 |
April Belk, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11430 N Port Washington Rd, Mequon, WI 53092 Phone: 262-518-1900 | |
Lois Harrison, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12800 N Lake Shore Dr, Mequon, WI 53097 Phone: 262-243-4468 | |
Jennifer D'urso, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1249 W Liebau Rd, Mequon, WI 53092 Phone: 262-243-4161 Fax: 262-243-4166 | |
Mrs. Sandra Pacl, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12600 N Port Washington Rd, Mequon, WI 53092 Phone: 262-387-8818 | |
Monika Maria De Arteaga, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11649 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-8022 | |
Dr. Melanie Thierfelder, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11363 N Port Washington Rd, Mequon, WI 53092 Phone: 262-833-2060 Fax: 262-833-2061 |