Doctor Name: | CYNTHIA MARIE TESKE |
NPI Number: | 1295987220 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 3576-024 |
Business Practice Address: | 1540 Heritage Blvd West Salem, WI - 546691417 |
Business Phone Number: | 6087864989 |
Business Fax Number: | 6087862321 |
Mailing Address: | 1540 Heritage Blvd, WEST SALEM |
State: | WI |
Postal Code: | 546691417 |
Phone Number: | 6087864989 |
Fax Number: | 6087862321 |
NPI Enumeration Date: | 10/22/2008 |
NPI Last Update Date: | 10/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251N0400X |
License Number: | 3576-024 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Neurology |
Taxonomy Definition: |