| Lakeland Physical Therapy L.l.c. | |
|
27477 State Highway 64, Suite C, Cornell, WI 54732-5222 | |
| (715) 239-0555 | |
| (715) 239-0556 |
| Full Name | Lakeland Physical Therapy L.l.c. |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 27477 State Highway 64, Cornell, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639492085 | NPI | - | NPPES |
| Provider Name | Lauren M Nelson Bobb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598805210 PECOS PAC ID: 2860425295 Enrollment ID: I20050915000463 |
| Provider Name | Mary Joy G Borton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780716605 PECOS PAC ID: 8426153057 Enrollment ID: I20070410000486 |
| Provider Name | Julie L Kammerud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780845875 PECOS PAC ID: 5698842797 Enrollment ID: I20080915000577 |
| Provider Name | Courtney Fedie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003328469 PECOS PAC ID: 5991069445 Enrollment ID: I20180509000111 |
| Provider Name | Kayla M Francken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316506041 PECOS PAC ID: 7911231758 Enrollment ID: I20190627001215 |
| Provider Name | Melissa A Salmonson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588218291 PECOS PAC ID: 7012249618 Enrollment ID: I20191031001980 |
| Provider Name | Chelsey M Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992201750 PECOS PAC ID: 6002170081 Enrollment ID: I20210707003164 |
| Provider Name | Shannon S Tanzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154468643 PECOS PAC ID: 1254738602 Enrollment ID: I20210928000436 |
| Provider Name | Andrew Lipiec |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386122562 PECOS PAC ID: 8426475492 Enrollment ID: I20211102002699 |
| Provider Name | Brooke J Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629761820 PECOS PAC ID: 9436510567 Enrollment ID: I20230804001520 |
| Provider Name | Courtney Jean Drury |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871903799 PECOS PAC ID: 0446793822 Enrollment ID: I20240614000682 |
| Provider Name | Nathan James Hoglund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902634215 PECOS PAC ID: 7113457284 Enrollment ID: I20250205002450 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Physical Therapy L.l.c. 27477 State Highway 64, Suite C, Cornell, WI 54732-5222 Ph: (715) 379-0916 | Lakeland Physical Therapy L.l.c. 27477 State Highway 64, Suite C, Cornell, WI 54732-5222 Ph: (715) 239-0555 |