| Kevin B Beaver, PT | |
|
402 W. Lake St., Friendship, WI 53934 | |
| (608) 339-3331 | |
| Not Available |
| Full Name | Kevin B Beaver |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 402 W. Lake St., Friendship, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235342221 | NPI | - | NPPES |
| 40317300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5389 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin B Beaver, PT 402 W. Lake St., P.o. Box 40, Friendship, WI 53934 Ph: () - | Kevin B Beaver, PT 402 W. Lake St., Friendship, WI 53934 Ph: (608) 339-3331 |
Mary H. Moll, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 W. Lake St., Friendship, WI 53934 Phone: 608-339-3331 | |
Kari A. Gatterman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 W. Lake St., Friendship, WI 53934 Phone: 608-339-3331 | |
Mary L. Fendt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 W. Lake St., Friendship, WI 53934 Phone: 608-339-3331 | |
Mr. Jason Matthew Wolbers, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S Park Ave, Friendship, WI 53934 Phone: 608-339-3361 |