Carl Syvertson

NPI 1174797484 - Physical Therapist - 225100000X

NPI Details
NPI 1174797484
Gender Male
Enumeration Date 04/17/2008
Last Updated 04/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1650 TRI PARK WAY
SUITE A
APPLETON WI, 54914-1601, US
Phone (920) 830-6697
Fax (920) 830-6697
Business Location
1650 TRI PARK WAY
SUITE A
APPLETON WI, 54914-1601, US
Phone (920) 830-6697
Fax (920) 830-6697
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 839-024
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According to our database, Carl Syvertson NPI is 1174797484, taxonomy code is 225100000X and license number is 839-024, license state is located at Wisconsin. Carl Syvertson physically located at 1650 Tri Park Way, Appleton WI, 54914-1601. NPI Number Carl Syvertson has the Individual type.

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1174797484 NPI number is provided on an as is basis without warranty of any kind. 1174797484 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Syvertson are for informational purposes only.