Taylor Stark, DPT | |
11040 N State Road 77, Hayward, WI 54843-3606 | |
(715) 934-4232 | |
Not Available |
Full Name | Taylor Stark |
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Gender | Female |
Speciality | Physical Therapist - Orthopedic |
Location | 11040 N State Road 77, Hayward, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306533427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 15427-24 (Wisconsin) | Primary |
Provider Name | Medical Services, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912992827 PECOS PAC ID: 9436061363 Enrollment ID: O20040914001088 |
Mailing Address | Practice Location Address |
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Taylor Stark, DPT 14712 W Hidden Woods Dr, Hayward, WI 54843-4585 Ph: () - | Taylor Stark, DPT 11040 N State Road 77, Hayward, WI 54843-3606 Ph: (715) 934-4232 |
Northwoods Physical Therapy Clinic & Fitness Center Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 15537 W Hwy 77 East, Hayward, WI 54843 Phone: 715-634-2165 Fax: 715-634-1846 | |
Matthew Flesher, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11040 N State Rd 77, Hayward, WI 54843 Phone: 715-934-4321 | |
Alan L Bowman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10342 Dyno Dr, Suite 2, Hayward, WI 54843 Phone: 715-699-1371 Fax: 866-245-8064 | |
Kory Lutz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11040 N State Road 77, Hayward, WI 54843 Phone: 715-934-4321 | |
James L January, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15954 Rivers Edge Dr, Hayward, WI 54843 Phone: 715-387-5511 | |
Dr. Beth A Clark, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 15735 W Us Highway 63, Hayward, WI 54843 Phone: 888-834-4551 Fax: 715-598-4881 |