Kaitlyn J Smith, DPT | |
402 Eureka St, Ripon, WI 54971 | |
(920) 896-0430 | |
(920) 896-0491 |
Full Name | Kaitlyn J Smith |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 402 Eureka St, Ripon, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659850113 | NPI | - | NPPES |
39-1930290 | Other | WI | GROUP TAX ID |
1407857790 | Other | WI | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Blue Stone Therapy Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932797297 PECOS PAC ID: 1850707787 Enrollment ID: O20210301002214 |
Mailing Address | Practice Location Address |
---|---|
Kaitlyn J Smith, DPT 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 Ph: (920) 560-1083 | Kaitlyn J Smith, DPT 402 Eureka St, Ripon, WI 54971 Ph: (920) 896-0430 |
Ms. Jessica M. Hoinacki, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1080 W Fond Du Lac St, Ripon, WI 54971 Phone: 920-748-9633 Fax: 715-258-1153 | |
Dr. Katherine Lynn Korecek, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 933 Newbury St, Ripon, WI 54971 Phone: 920-748-9138 | |
Dr. Patrick Christopherson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 402 Eureka St, Ripon, WI 54971 Phone: 920-896-0430 | |
Audra Hazelberg, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 933 Newbury St, Ripon, WI 54971 Phone: 920-748-9138 | |
Kathleen Kay Hones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 933 Newbury St, Rmc Sports And Spine, Ripon, WI 54971 Phone: 920-748-1138 | |
Daniel B Garcia, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 933 Newbury St, Ripon, WI 54971 Phone: 920-748-9138 | |
Autumn Susan Pawlowski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 402 Eureka St, Ripon, WI 54971 Phone: 920-896-0430 |