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NPI Code Detail

MEDICARE: SARAH MUELLER PTA

MEDICARE: SARAH MUELLER PTA
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
1225200000XPhysical Therapy Assistant2324-19WI

General Provider Information

NPI Number : 1730541863
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MUELLER PTA
Provider Business Mailing Address
First Line : 6998 COUNTY RD N
Second Line :
City : SOUTH WAYNE
State : WI
Zip : 53587-9748
Country : US
Telephone Number : 608-574-6987
Fax Number :
Provider Business Practice Location Address
First Line : 516 26TH AVE
Second Line :
City : MONROE
State : WI
Zip : 53566-1531
Country : US
Telephone Number : 608-325-9141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2016
Last Update Date : 03/28/2016

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