| Doctor Name: | NICOLE BARTON |
| NPI Number: | 1235325598 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 9742024 |
| Business Practice Address: | 1401 Churchill St Waupaca, WI - 549812027 |
| Business Phone Number: | 7152588131 |
| Business Fax Number: | |
| Mailing Address: | E2595 Evergreen Dr, WAUPACA |
| State: | WI |
| Postal Code: | 549818454 |
| Phone Number: | 7152582500 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2007 |
| NPI Last Update Date: | 09/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 9742024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |