Kristy Lyn Wichman in Menasha - Physical Therapy Assistant
Kristy Lyn Wichman - NPI 1831398825
Kristy Lyn Wichman is a Physical Therapy Assistant in Menasha, Wisconsin. Kristy Lyn Wichman practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kristy Lyn Wichman is 1831398825. The last update date is 2007-07-11.
Kristy Lyn Wichman's current location address is 1550 Midway Pl, Menasha, Wisconsin. You can contact this provider via phone number 9207278149. The mailing address for Kristy Lyn Wichman is 1550 Midway Pl, Menasha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristy Lyn Wichman |
|---|---|
| Address | 1550 Midway Pl, Menasha, Wisconsin |
| Phone Number | 9207278149 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1831398825 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 1550 Midway Pl |
|---|---|
| City | Menasha |
| State | Wisconsin (WI) |
| Post Code | 549521165 |
| Phone Number | 9207278149 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 109-019 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40287800 | WI | -- |
Post Comment/ Review Below
What is the Kristy Lyn Wichman's 1831398825?
The Kristy Lyn Wichman's NPI (National Provider Identifier) Number is 1831398825. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kristy Lyn Wichman is physically located?
The Kristy Lyn Wichman is situated at the following address: 1550 Midway Pl, Menasha, WI 549521165.
What is the Kristy Lyn Wichman's specialty and taxonomy code?
The Kristy Lyn Wichman's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831398825 to Kristy Lyn Wichman?
The Kristy Lyn Wichman received its 1831398825 assignment from the Centers for Medicare & Medicaid Services on 2007-07-11.
When was the Kristy Lyn Wichman's information last updated?
The Kristy Lyn Wichman's information was last updated on 2007-07-11.