Dixie Hettinga PT

NPI 1619124013 - Physical Therapist - 225100000X

NPI Details
NPI 1619124013
Gender Female
Enumeration Date 08/27/2008
Last Updated 08/27/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1100 LAKE VIEW DR
WAUSAU WI, 54403-6785, US
Phone (715) 842-8548
Fax
Business Location
1100 LAKE VIEW DR
WAUSAU WI, 54403-6785, US
Phone (715) 842-8548
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 1956-24
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According to our database, Dixie Hettinga PT NPI is 1619124013, taxonomy code is 225100000X and license number is 1956-24, license state is located at Wisconsin. Dixie Hettinga PT physically located at 1100 Lake View Dr, Wausau WI, 54403-6785. NPI Number Dixie Hettinga PT has the Individual type.

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1619124013 NPI number is provided on an as is basis without warranty of any kind. 1619124013 is maintained by the National Plan & Provider Enumeration System. The contents of Dixie Hettinga PT are for informational purposes only.