Healthcare Provider Details

I. General information

NPI: 1467256420
Provider Name (Legal Business Name): EMILY ZIEGLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WESTHAVEN DR
OSHKOSH WI
54904-6926
US

IV. Provider business mailing address

404 4TH ST
FOND DU LAC WI
54935-4577
US

V. Phone/Fax

Practice location:
  • Phone: 920-237-5000
  • Fax:
Mailing address:
  • Phone: 920-602-7210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: