Whalio Doctors

NPI 1073539649

Cresta Elizabeth Nutter, CTRS

Practitioner Recreation Therapist Oconomowoc, WI

Practice location

Address
W274 Hillendale Dr, Oconomowoc, WI 53066-5528
Phone
(262) 567-4865

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 53913 (WI)

Registry record

NPI
1073539649
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Jul 2006
Record last updated
8 Jul 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.