NPI 1619114683

Amanda Fussy, PTA

Practitioner Physical Therapy Assistant Menomonie, WI

Practice location

Address: 915 Elm Ave E, Menomonie, WI 54751-1613
Phone: (715) 235-9041
Fax: (715) 235-2289

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1547-19 (WI)

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Registry record

NPI: 1619114683
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jan 2009
Record last updated: 13 Jan 2009

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.