NPI 1003001561

Theresa Ann Hagman, PTA

Practitioner Physical Therapy Assistant Appleton, WI

Practice location

Address: 1818 N Meade St, Appleton, WI 54911-3454
Phone: (920) 731-4101
Mailing address: PO Box 2759, Appleton, WI 54912-2759

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 86-019 (WI)

Other Physical Therapy Assistant providers in Wisconsin →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

Registry record

NPI: 1003001561
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2007
Record last updated: 7 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.