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Contact Information

TRACIE L WUTHRICH, PTA
2620 WAUNONA WAY
MADISON, WI53713
 Phone: 608-223-1452
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for TRACIE L WUTHRICH · (Female)

NPI Number 1699290668
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 08/10/2017
Last updated 08/10/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2543-19
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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