MR. DALLAS ROGER LOUKES (NPI# 1386191799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386191799 |
| Entity Type | Individual |
| Full Name | MR. DALLAS ROGER LOUKES |
| Credential | PTA |
| Practice Address |
323 W Monroe St Wyocena WI 53969 |
| Mailing Address |
315 Valley View Dr Rio WI 53960-8037 |
| Practice Telephone | 6084292181 |
| Mailing Telephone | 2185912606 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2335-19 | WI | Other Service Providers |
| Street Address |
323 W MONROE ST |
| City | WYOCENA |
| State | WI |
| Zip Code | 53969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940714 | Jennifer Lynne Hornbaker | Physical Therapist | 323 W Monroe St, Wyocena, WI 53969-7168 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003276387 | Stacy Padley | Occupational Therapist | 323 W Monroe Street, Wyocena, WI 53969 | 2016-03-01 |
| 1003029406 | Mandi Ann Herwig | Occupational Therapy Assistant | 323 West Monroe Street, Wyocena, WI 53969 | 2007-05-08 |
| 1831101864 | County of Columbia | Skilled Nursing Facility | 323 W. Monroe St., Wyocena, WI 53969 | 2006-08-11 |
| 1447770664 | Jordan L Mortensen | Physical Therapist | 323 W Monroe Street, Wyocena, WI 53969 | 2017-06-20 |
| 1053799213 | Alison Nygaard | Occupational Therapist | 323 West Monroe Street, Wyocena, WI 53969 | 2015-05-08 |
| 1033518162 | Ean Van Vliet | Physical Therapy Assistant | 323 West Monroe Street, Wyocena, WI 53969 | 2014-08-14 |
| 1952852378 | Jamie N. Kuhls | Occupational Therapy Assistant | 323 W. Monroe St., Wyocena, WI 53969-0895 | 2016-10-20 |
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835440 | Michael Dale Shoultz | Specialist | 2622 Hoard St, Madison, WI 53704-4827 | 2020-06-11 |
| 1134752934 | Denise Douglass | Specialist | 31 Northstar Ln, Saint Croix Falls, WI 54024-9005 | 2020-02-20 |
| 1164065025 | Susan Jane Janz | Specialist | 1014 W Thomas St, Wausau, WI 54401-5986 | 2019-10-23 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1982161048 | Natalia Roman | Specialist | 725 W Lapham Blvd Apt 17, Milwaukee, WI 53204-3447 | 2019-02-25 |
| 1598231524 | Shanel Marie Jordan | Specialist | 4827 N 76th St, Milwaukee, WI 53218-3826 | 2018-10-17 |
| 1285084368 | Madison Swim Academy | Specialist | 605 Chase Blvd, Sun Prairie, WI 53590-2382 | 2016-06-20 |
| 1851745905 | Kristyn Zahorik | Specialist | 7515 W Coldspring Rd, Greenfield, WI 53220-2814 | 2016-04-14 |
| 1104297274 | Andrea Renee Keapproth | Specialist | 433 W Washington Ave, Madison, WI 53703-3482 | 2015-10-14 |
| 1982075628 | Scott Polito | Specialist | 1339 3rd Ave N, Onalaska, WI 54650-9130 | 2015-10-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.