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Organization
ORTHOPEDIC & SPINE THERAPY OF MENASHA SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF MENASHA 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
1000 MIDWAY RD, MENASHA, WI 54952-1116
(920) 727-9878
(920) 727-9903
Mailing address
1000 MIDWAY RD, MENASHA, WI 54952-1116
(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
—
102382900
US DEPARTMENT OF LABOR
WI
01
—
128871
HEALTH PARTNERS
WI
05
—
40416400
—
WI
01
—
4136286002
AMERICHOICE
WI
05
—
41745500
—
WI
01
—
CH3738
RAILROAD MEDICARE
WI
Enumeration date
06/28/2006
Last updated
05/09/2016
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