Tara Maki, PT | |
702 W Dolf St, Colby, WI 54421-9604 | |
(715) 223-2352 | |
Not Available |
Full Name | Tara Maki |
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Gender | Female |
Speciality | Physical Therapist |
Location | 702 W Dolf St, Colby, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508214891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5417-24 (Wisconsin) | Primary |
Provider Name | Marshfield Clinic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Provider Name | Mchs Hospitals Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Mailing Address | Practice Location Address |
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Tara Maki, PT 702 W Dolf St, Colby, WI 54421-9604 Ph: () - | Tara Maki, PT 702 W Dolf St, Colby, WI 54421-9604 Ph: (715) 223-2352 |
Chad A Bogdonovich, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 604b North Division St, Colby, WI 54421 Phone: 715-223-4060 Fax: 715-223-4032 | |
Mr. Charles Lee Bauman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 702 W Dolf St, Colby, WI 54421 Phone: 715-223-2352 | |
Michelle Rose Schwarting, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 W Dolf St, Colby, WI 54421 Phone: 715-223-2352 | |
Nicole Wittlinger Quarne, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Dehne Road, Colby, WI 54421 Phone: 715-387-5529 | |
Francis Jason Dizon Medina, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 W Dolf St, Colby, WI 54421 Phone: 715-223-2352 | |
Lindsey Rae Theis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Dehne Dr Ste Abc, Colby, WI 54421 Phone: 715-223-6442 Fax: 715-223-2447 |