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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 AND PRESIDENT)
(920) 257-2000
Entity
Organization
Contact information
Practice address
9675 E ELM RD, POPLAR, WI 54864-9102
(715) 364-8565
(715) 364-8574
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
—
27F97OR
GROUP HEALTH/BCBS OF MN
WI
05
—
40419200
—
WI
01
—
4136291001
AMERICHOICE
WI
05
—
41745900
—
WI
01
—
82172
HEALTH PARTNERS
WI
01
—
CH6558
RAILROAD MEDICARE
WI
Enumeration date
08/11/2006
Last updated
06/21/2018
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