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
1901 CROOKS AVE, SUITE B, KAUKAUNA, WI 54130-3200
(920) 759-9075
(920) 759-9076
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41566000
—
WI
Enumeration date
11/14/2006
Last updated
05/02/2008
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