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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 AND PRESIDENT)
(920) 257-2000
Entity
Organization
Contact information
Practice address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 968-0814
(920) 734-6159
Mailing address
4000 N. PROVIDENCE AVE, 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
—
102382901
US DEPARTMENT OF LABOR
WI
01
—
128871
HEALTH PARTNERS
WI
05
—
40422600
—
WI
01
—
4136286001
AMERICHOICE
WI
05
—
41745400
—
WI
01
—
CH3738
RAILROAD MEDICARE
WI
Enumeration date
06/28/2006
Last updated
06/03/2016
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