NPI 1598039943

Scott Michael Pethan, MSBSNRN

Practitioner Clinical Exercise Physiologist Oshkosh, WI

Practice location

Address: 2700 W 9th Ave Suite 107, Oshkosh, WI 54904-7247
Phone: (920) 236-1835
Fax: (920) 223-1182

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X Licence 136064-30 (WI)

Other Clinical Exercise Physiologist providers in Wisconsin →

Registry record

NPI: 1598039943
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Mar 2012
Record last updated: 2 Mar 2012

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.