Ms Kelly Marie Eberhardt, PT | |
1650 Starbridge Dr, Brookfield, WI 53005-5597 | |
(262) 893-0926 | |
Not Available |
Full Name | Ms Kelly Marie Eberhardt |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1650 Starbridge Dr, Brookfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417666074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6443-024 (Wisconsin) | Primary |
Provider Name | Prohealth Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
---|---|
Ms Kelly Marie Eberhardt, PT 1650 Starbridge Dr, Brookfield, WI 53005-5597 Ph: (262) 893-0926 | Ms Kelly Marie Eberhardt, PT 1650 Starbridge Dr, Brookfield, WI 53005-5597 Ph: (262) 893-0926 |
Kristin M Gehringer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Mackenzi Bowman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd, Brookfield, WI 53045 Phone: 262-923-7101 | |
Jamie Wickershiem, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17500 W Bluemound Rd, Ste B, Brookfield, WI 53045 Phone: 262-901-2800 Fax: 262-784-2914 | |
Mrs. Shelley Sue Brenholt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17280 W North Ave, # 104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Christina Inez Rose Hochla, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 195 Discovery Dr, Brookfield, WI 53045 Phone: 262-513-7500 | |
Mrs. Marcy R Heuer, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19525 W North Avenue, Franciscan Woods, Brookfield, WI 53045 Phone: 262-785-1114 Fax: 262-780-3805 | |
Mrs. Jennifer Anne Werner-clinton, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3415 N 127th St, Brookfield, WI 53005 Phone: 262-781-8144 |