Katherine I Wacker, PT | |
1891 Station Pkwy Nw, Andover, MN 55304-3341 | |
(763) 755-4275 | |
Not Available |
Full Name | Katherine I Wacker |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1891 Station Pkwy Nw, Andover, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720285638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | TEMP 2346 (Minnesota) | Primary |
Provider Name | Family Speech & Therapy Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235285966 PECOS PAC ID: 8022335397 Enrollment ID: O20150325001650 |
Mailing Address | Practice Location Address |
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Katherine I Wacker, PT 1891 Station Pkwy Nw, Andover, MN 55304-3341 Ph: () - | Katherine I Wacker, PT 1891 Station Pkwy Nw, Andover, MN 55304-3341 Ph: (763) 755-4275 |
Karen Frances La Fond, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1874 134th Ln Nw, Andover, MN 55304 Phone: 763-862-4954 Fax: 763-862-4954 | |
Paige Koehne, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1574 154th Ave Nw, Andover, MN 55304 Phone: 763-433-8108 Fax: 763-433-8134 | |
Courtney Konop, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 | |
Moore Therapies, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16817 Zion St Nw, Andover, MN 55304 Phone: 651-955-3327 | |
William Tessman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1574 154th Ave Nw, Suite 109, Andover, MN 55304 Phone: 763-433-8108 | |
Sarah Joy Moen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Parkway Nw, Andover, MN 55304 Phone: 763-755-4275 | |
Kathryn Rose Williams, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1574 154th Ave Nw, Andover, MN 55304 Phone: 763-433-8108 Fax: 763-433-8134 |