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Organization
ORTHOPEDIC & SPINE THERAPY OF GREEN BAY, SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF GREEN BAY, 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
301 N BROADWAY STE 206, DE PERE, WI 54115-2557
(920) 432-9040
(920) 432-9053
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
—
369376100
US DEPARTMENT OF LABOR
WI
05
—
40415100
—
WI
05
—
41745600
—
WI
01
—
CI9565
RAILROAD MEDICARE
WI
Enumeration date
08/22/2006
Last updated
05/16/2025
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