Jason Kyle Fandrey, PT | |
1021 Western Ave, Suite B, Mosinee, WI 54455-1511 | |
(715) 693-7727 | |
(715) 693-7171 |
Full Name | Jason Kyle Fandrey |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1021 Western Ave, Mosinee, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013238377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11421-24 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jason Kyle Fandrey, PT 1021 Western Ave, Suite B, Mosinee, WI 54455-1511 Ph: (715) 693-7727 | Jason Kyle Fandrey, PT 1021 Western Ave, Suite B, Mosinee, WI 54455-1511 Ph: (715) 693-7727 |
Leah J Bouton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 Orbiting Drive, Mosinee, WI 54455 Phone: 715-693-9100 | |
Stephanie Roth, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 390 Orbiting Dr, Mosinee, WI 54455 Phone: 715-693-9188 |