Doctor Name: | NANCY ELLEN REITHEL |
NPI Number: | 1114190618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 4572 |
Business Practice Address: | 610 Westwood Drive Onalaska, WI - 54650 |
Business Phone Number: | 6087836934 |
Business Fax Number: | |
Mailing Address: | 610 Westwood Drive, ONALASKA |
State: | WI |
Postal Code: | 54650 |
Phone Number: | 6087836934 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2008 |
NPI Last Update Date: | 04/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 4572 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |