Kyle F Sampson, | |
315 N Milwaukee St, Waterford, WI 53185-4432 | |
(262) 514-2700 | |
(262) 514-3003 |
Full Name | Kyle F Sampson |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 315 N Milwaukee St, Waterford, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518434125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Freedom Physical Therapy Services Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063406544 PECOS PAC ID: 8224938113 Enrollment ID: O20040108000955 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20100913000433 |
Mailing Address | Practice Location Address |
---|---|
Kyle F Sampson, 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 590-4029 | Kyle F Sampson, 315 N Milwaukee St, Waterford, WI 53185-4432 Ph: (262) 514-2700 |
Dawn Shuda, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 | |
Matthew Ferlindes, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 | |
Jennifer M. Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003 | |
Stacey Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 | |
Jose Crespo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003 | |
Sadie Tenhagen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-558-8599 Fax: 262-758-5468 |