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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

THERESA A HAGMAN, PTA
1818 N MEADE ST
APPLETON, WI54911-3454
 Phone: 920-731-4101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for THERESA A HAGMAN · (Female)

NPI Number 1003001561
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 09/07/2007
Last updated 09/07/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 86-019
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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