Pamela Elizabeth Buntin, PT, DPT

Individual provider Active NPI Physical Therapist · Schofield, WI

NPI 1669853255 · NPPES record last updated Jun 9, 2015

Key facts

NPI
1669853255
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
13010-24 (WI)
Practice address
1502 Metro Dr Apt 8
Schofield, WI 54476-6414
Phone
(715) 551-6297
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13010-24WIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13010-24 WI Yes

Addresses

Primary practice location

1502 Metro Dr Apt 8
Schofield, WI 54476-6414

Mailing address

1502 Metro Dr Apt 8
Schofield, WI 54476-6414
Phone (715) 551-6297

Other providers in Schofield, WI

All providers in Schofield, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.