| Theresa Wiederoder, DPT | |
|
1178 Pua Melia St, Kalaheo, HI 96741 | |
| (989) 859-2222 | |
| Not Available |
| Full Name | Theresa Wiederoder |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1178 Pua Melia St, Kalaheo, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821341181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT3563 (Hawaii) | Secondary |
| 225100000X | Physical Therapist | 5501003076 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Wiederoder, DPT Po Box 1268, Kalaheo, HI 96741-1268 Ph: (989) 859-2222 | Theresa Wiederoder, DPT 1178 Pua Melia St, Kalaheo, HI 96741 Ph: (989) 859-2222 |
Paulette Lum, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4845c Puuwai Rd, Kalaheo, HI 96741 Phone: 808-651-2327 | |
Jeshua Spadino, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2-2488 Kaumualii Hwy, Kalaheo, HI 96741 Phone: 808-335-5808 | |
Michelle Pacilio, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2-2488 Kaumualii Hwy, Kalaheo, HI 96741 Phone: 808-335-5808 Fax: 808-335-5657 | |
Thomas A Hazelton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2-2488 Kaumualii Hwy, Kalaheo, HI 96741 Phone: 808-335-5808 Fax: 808-335-5657 | |
Brittany Marie Largo, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2-2488 Kaumualii Hwy, Kalaheo, HI 96741 Phone: 808-320-7159 Fax: 808-335-5657 | |
Ohana Sports Medicine Physical Therapist Medicare: Medicare Enrolled Practice Location: 2-2488 Kaumualii Hwy, Kalaheo, HI 96741 Phone: 808-335-5808 Fax: 808-335-5657 | |
Roberto Castillo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2-2514 Kaumualii Hwy Ste 211, Kalaheo, HI 96741 Phone: 808-808-4958 Fax: 808-495-8669 |