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Organization
ORTHOPEDIC AND SPINE THERAPY OF MENASHA SC
Active
Organization
ORTHOPEDIC AND SPINE THERAPY OF MENASHA 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
1 BANK AVE, SUITE C, KAUKAUNA, WI 54130-2581
(920) 759-9075
(920) 759-9076
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
—
102382902
US DEPARTMENT OF LABOR
WI
01
—
128871
HEALTH PARTNERS
WI
01
—
2133143004
AMERICHOICE
WI
05
—
40429400
—
WI
05
—
41566000
—
WI
01
—
5335410005
MEDICARE DME
WI
Enumeration date
11/13/2006
Last updated
06/03/2016
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