| Krista Jean Wieneke, | |
|
14440 28th Pl N Ste 200, Plymouth, MN 55447-4854 | |
| (612) 707-0169 | |
| (612) 465-1603 |
| Full Name | Krista Jean Wieneke |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 14440 28th Pl N Ste 200, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477676799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6686 (Minnesota) | Primary |
| Provider Name | Specific Health & Chiropractic Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275192197 PECOS PAC ID: 1759615297 Enrollment ID: O20190702003565 |
| Provider Name | Midwest Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871037630 PECOS PAC ID: 0143643833 Enrollment ID: O20200714001969 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Jean Wieneke, 2031 Fairmount Ave, Saint Paul, MN 55105-1548 Ph: () - | Krista Jean Wieneke, 14440 28th Pl N Ste 200, Plymouth, MN 55447-4854 Ph: (612) 707-0169 |
Dr. Andrew Stelter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2155 Niagara Ln N Ste 102, Plymouth, MN 55447 Phone: 952-322-7383 | |
Paul Julius Solie, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14100 Carlson Pkwy Ste 200, Plymouth, MN 55441 Phone: 763-519-7900 Fax: 763-450-0202 | |
Alda L Lisk, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5385 Orchid Ln N, Plymouth, MN 55446 Phone: 612-860-1954 | |
Ibackcheck Sports Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 2530 Xenium Ln N, Suite 200, Plymouth, MN 55441 Phone: 763-634-8500 | |
Megan Smith-cannistraci, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3025 Harbor Ln N, Suite 314, Plymouth, MN 55447 Phone: 763-559-0356 Fax: 763-559-5193 | |
Sarah Mugge, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4155 County Road 101 N, 2nd Floor, Plymouth, MN 55446 Phone: 952-993-8999 Fax: 952-993-8242 | |
Ms. Katie Jean Ohm, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3401 E Medicine Lake Blvd, Plymouth, MN 55441 Phone: 763-559-3123 |