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Organization
ORTHOPEDIC & SPINE THERAPY OF LADYSMITH SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF LADYSMITH SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEVEN BARNETT PT (OWNER-PRESIDENT)
(920) 257-2000
Entity
Organization
Contact information
Practice address
400 W 9TH ST N, LADYSMITH, WI 54848-1252
(715) 532-3439
(715) 532-0120
Mailing address
4000 N. PROVIDENCE AVENUE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121630
HEALTH PARTNERS
WI
05
—
40425400
—
WI
01
—
4136290001
AMERICHOICE
WI
05
—
41751800
—
WI
01
—
609586900
US DEPT OF LABOR
WI
01
—
DE9938
RAILROAD MEDICARE
WI
Enumeration date
08/07/2006
Last updated
03/19/2015
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