Kathryn J Davey, PT | |
N2950 State Road 67, Lake Geneva, WI 53147-2655 | |
(262) 245-4990 | |
(262) 245-2248 |
Full Name | Kathryn J Davey |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | N2950 State Road 67, Lake Geneva, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245381433 | NPI | - | NPPES |
40260700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4421024 (Wisconsin) | Primary |
Provider Name | Mercy Health System Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Kathryn J Davey, PT N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-4990 | Kathryn J Davey, PT N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-4990 |
Erin E Mahoney, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500 | |
Matthew Allen Hoffman, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500 | |
Madalyn R Douglas, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4980 Fax: 262-245-2248 | |
Kelly J Pauley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
Kimberly K Dama, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
Mrs. Tara M. Grocholski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500 | |
Carling M. Johns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 800-638-2901 Fax: 262-245-2248 |