Organization
COUNTRYSIDE THERAPY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T O'DELL PT (OWNER)
(920) 564-6107
Entity
Organization
Contact information
Practice address
W4523 COUNTY ROAD IW, WALDO, WI 53093-1639
(920) 564-6107
Mailing address
PO BOX 1127, SHEBOYGAN, WI 53082-1127
(920) 457-6750
(920) 457-8350
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5421-024
WI
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us