NPI 1295073880

Thorne Michael Wittstruck, BSCESRCEP

Practitioner Clinical Exercise Physiologist Baraboo, WI

Practice location

Address: 707 14th St, Baraboo, WI 53913-1539
Phone: (608) 356-1481

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Registry record

NPI: 1295073880
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2013
Record last updated: 17 Jan 2013

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.