| Mr Tracy Paul Wilde, PT | |
|
426 Mcmillen St, Fort Atkinson, WI 53538-1996 | |
| (920) 563-9357 | |
| (920) 568-6545 |
| Full Name | Mr Tracy Paul Wilde |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 426 Mcmillen St, Fort Atkinson, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760402150 | NPI | - | NPPES |
| 36104000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5978-024 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tracy Paul Wilde, PT 426 Mcmillen St, Fort Atkinson, WI 53538-1996 Ph: (920) 563-9357 | Mr Tracy Paul Wilde, PT 426 Mcmillen St, Fort Atkinson, WI 53538-1996 Ph: (920) 563-9357 |
Brett William Eliszewski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-9357 | |
Dawn Elizabeth Kubly, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5299 | |
Mr. Paul Robert Incha, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-9357 Fax: 920-568-6545 | |
Gregory Scolman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-9357 Fax: 920-568-6545 | |
Kyle Newcomb, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-9357 Fax: 920-568-6545 | |
Rigel A Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-9357 Fax: 920-568-6545 | |
Alexander Bakken, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 Wilcox St, Fort Atkinson, WI 53538 Phone: 920-563-5533 |