Terrie Braun-Johnson, PTA
Individual provider Active NPI Physical Therapy Assistant · Viroqua, WI
NPI 1659548014 · NPPES record last updated May 14, 2008
Key facts
- NPI
- 1659548014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 649-19 (WI)
- Practice address
- 614 S Rock Ave
Viroqua, WI 54665-1936 - Phone
- (608) 637-2171
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 649-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 649-19 | WI | Yes |
Addresses
Primary practice location
614 S Rock Ave
Viroqua, WI 54665-1936
Mailing address
1004 Cardinal St NW
PO Box 235
Bangor, WI 54614-6705
Phone (608) 486-2027
Other providers in Viroqua, WI
- Rita Gould Berkley
- Bethel Home and Services, Inc.
- John Arlen Bjerke
- Jenelle Boyer
- Yvonne M Brault
- David R Breitbach
- Kristine K Brueggen
- Katherine E Burke
- Cheryl Cade
- Jenny Lee Cain
All providers in Viroqua, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.