MEDICARE: WILLIAM ALTEMUELLER DR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P22938	NC

General Provider Information

NPI Number	:	1417709965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ALTEMUELLER DR.

Provider Business Mailing Address
First Line	:	200 W PARK CIR STE A
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3583
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 W PARK CIR STE A
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3583
Country	:	US
Telephone Number	:	336-818-2700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2024
Last Update Date	:	04/05/2024

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Directions to “ WILLIAM ALTEMUELLER DR.” Practice Location

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