Tracy Paul Wilde in Fort Atkinson - Physical Therapist
Tracy Paul Wilde - NPI 1760402150
Tracy Paul Wilde is a Physical Therapist in Fort Atkinson, Wisconsin. Tracy Paul Wilde practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Tracy Paul Wilde is 1760402150. The last update date is 2010-07-07.
Tracy Paul Wilde's current location address is 426 Mcmillen St, Fort Atkinson, Wisconsin. You can contact this provider via phone number 9205639357 and fax number 9205686545. The mailing address for Tracy Paul Wilde is 426 Mcmillen St, Fort Atkinson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Paul Wilde |
|---|---|
| Address | 426 Mcmillen St, Fort Atkinson, Wisconsin |
| Phone Number | 9205639357 |
| Fax Number | 9205686545 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1760402150 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2010-07-07 |
Provider Mailing Address Detail
| Address | 426 Mcmillen St |
|---|---|
| City | Fort Atkinson |
| State | Wisconsin (WI) |
| Post Code | 535381996 |
| Phone Number | 9205639357 |
| Fax Number | 9205686545 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5978-024 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36104000 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tracy Paul Wilde by the Centers for Medicare & Medicaid Services?
The Tracy Paul Wilde has been assigned the NPI (National Provider Identifier) 1760402150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Tracy Paul Wilde's physical address?
The Tracy Paul Wilde is physically located at 426 Mcmillen St, in the city of Fort Atkinson, WI, with the postal code 535381996.
What is Tracy Paul Wilde's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracy Paul Wilde is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760402150 to Tracy Paul Wilde?
The Centers for Medicare & Medicaid Services originally issued the 1760402150 to Tracy Paul Wilde on 2006-07-20.
As of what date were the details related to Tracy Paul Wilde most recently updated or revised?
The information pertaining to Tracy Paul Wilde, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-07.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI