MEDICARE: CADEN PRAHL

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	17601-24	WI

General Provider Information

NPI Number	:	1689517351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CADEN PRAHL

Provider Business Mailing Address
First Line	:	924 SONGBIRD LN UNIT E1
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54482-8594
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 S VIEW DR STE 15132
Second Line	:
City	:	MOSINEE
State	:	WI
Zip	:	54455-8205
Country	:	US
Telephone Number	:	171-529-8210
Fax Number	:

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ CADEN PRAHL ” Practice Location

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