Healthcare Provider Details

I. General information

NPI: 1942991690
Provider Name (Legal Business Name): EMILY E VOSTERS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY E FICEK

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E CAPITOL DR
APPLETON WI
54911-8735
US

IV. Provider business mailing address

2400 E CAPITOL DR
APPLETON WI
54911-8728
US

V. Phone/Fax

Practice location:
  • Phone: 920-738-4600
  • Fax:
Mailing address:
  • Phone: 920-831-5050
  • Fax: 920-735-7648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number16320
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number16320
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: