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Organization
ORTHOPEDIC & SPINE THERAPY OF POPLAR, SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF POPLAR, 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
220 3RD AVE W, SUITE B, ASHLAND, WI 54806-1616
(715) 685-9656
(715) 685-9544
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
369493001
US DEPARTMENT OF LABOR
WI
05
—
40421300
—
WI
01
—
4136291002
AMERICHOICE
WI
01
—
41745800
MEDICAID DME
WI
01
—
77G56OR
GROUP HEALTH/BCBS OF MN
WI
01
—
82172
HEALTH PARTNERS
WI
01
—
CH6558
RAILROAD MEDICARE
WI
Enumeration date
08/05/2006
Last updated
08/17/2018
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