| Kevin R Wait, PT | |
|
1515 Park Ave, Columbus, WI 53925-1618 | |
| (920) 623-2200 | |
| Not Available |
| Full Name | Kevin R Wait |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1515 Park Ave, Columbus, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659682987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11536 (Wisconsin) | Primary |
| Provider Name | Prairie Ridge Health Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin R Wait, PT 1515 Park Ave, Columbus, WI 53925-1618 Ph: (920) 623-2200 | Kevin R Wait, PT 1515 Park Ave, Columbus, WI 53925-1618 Ph: (920) 623-2200 |
Lori Lawrence, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-1430 | |
Kayla Sharpee, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 | |
Brianne Trevorrow, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 | |
Connor Mccullough, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 | |
Mrs. Lynn M. Lenling, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 Western Ave, Columbus, WI 53925 Phone: 920-623-2520 | |
Stacey Depies, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 | |
Gabrielle Taschwer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 |