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“Physical Therapist” (Random Lake, WI)

Location: Random Lake, WI
Taxonomy: Physical Therapist.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1225233323 — RICHARD POLK PT
Practice Location Address:
N546 SCHROETER DR
RANDOM LAKE WI
53075-1272
Practice Phone: 920-207-3550
1316978893 — JENSEN INTERHEALTH
Practice Location Address:
233 CARROLL ST
RANDOM LAKE WI
53075
Practice Phone: 920-994-4515
1417901141 — MRS. MARLENA ELIZABETH SALAZAR PT
Practice Location Address:
N546 SCHROETER DR
RANDOM LAKE WI
53075-1272
Practice Phone: 920-207-3550
1487988432 — ABBY LYNN RISSE PT
Practice Location Address:
402 1ST ST
RANDOM LAKE WI
53075-1772
Practice Phone: 920-994-9700
1700043437 — MRS. JULIE M. SCHMITT PT
Practice Location Address:
N546 SCHROETER DR
RANDOM LAKE WI
53075-1272
Practice Phone: 920-994-9700
1780625764 — MICHELLE M GRACE-JENSEN PT
Practice Location Address:
233 CARROLL ST
RANDOM LAKE WI
53075-1795
Practice Phone: 920-912-0058
1790916443 — MS. VIRGINIA K BOWEN P.T.
Practice Location Address:
402 FIRST STREET
RANDOM LAKE WI
53075
Practice Phone: 920-994-9700
1902572571 — ELLEN GRANDAW MARTIN
Practice Location Address:
621 SPRING CT
RANDOM LAKE WI
53075-1790
Practice Phone: 920-960-0505

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