Kelly Jo Kuck, PT | |
W62n281 Washington Ave, Cedarburg, WI 53012-2737 | |
(262) 387-1722 | |
Not Available |
Full Name | Kelly Jo Kuck |
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Gender | Female |
Speciality | Physical Therapist |
Location | W62n281 Washington Ave, Cedarburg, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790188837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11403 (Wisconsin) | Primary |
Provider Name | Georgia Physical Therapy & Sports Medicine Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790898617 PECOS PAC ID: 0941303028 Enrollment ID: O20070309000338 |
Mailing Address | Practice Location Address |
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Kelly Jo Kuck, PT W62n281 Washington Ave, Cedarburg, WI 53012 Ph: (262) 387-1722 | Kelly Jo Kuck, PT W62n281 Washington Ave, Cedarburg, WI 53012-2737 Ph: (262) 387-1722 |
Mrs. Ingrid Schmit, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N27w5707 Lincoln Blvd, Cedarburg, WI 53012 Phone: 262-376-7676 Fax: 262-376-5208 | |
Mrs. Jessica Leigh Kreuziger, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N27w5707 Lincoln Blvd, Cedarburg, WI 53012 Phone: 414-376-7676 | |
Mrs. Abigail Joy Wilhelme, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W76 N677 N Wauwatosa Rd., Cedarburg, WI 53012 Phone: 262-377-5060 | |
Mrs. Renee M Mazurek, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W63n541 Hanover Ave, Cedarburg, WI 53012 Phone: 262-375-2195 | |
Angela Marie Jiracek, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W76n677 Wauwatosa Rd, Cedarburg, WI 53012 Phone: 262-377-5060 | |
Teresa Pirillo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N27w5707 Lincoln Blvd, Cedarburg, WI 53012 Phone: 414-376-7676 | |
Ms. Meghan Elizabeth Donovan, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N27w5707 Lincoln Blvd, Cedarburg, WI 53012 Phone: 262-376-7676 |