Andrew Bender
Individual provider Active NPI Physical Therapy Assistant · Boscobel, WI
NPI 1689088486 · NPPES record last updated Jun 19, 2014
Key facts
- NPI
- 1689088486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 207 Parker St
Boscobel, WI 53805-1642 - Phone
- (608) 375-6354
- NPI assigned
- Jun 19, 2014
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
207 Parker St
Boscobel, WI 53805-1642
Mailing address
209 E Bluff St
Boscobel, WI 53805-1721
Other providers in Boscobel, WI
- Galton Barker
- Pamela K Bartels
- Travis Baumann
- Nicole Bednarz
- Dick A Beinborn
- Ty Bloom
- John Philip Bohlman
- Mary Patricia Bohlman
- Boscobel Clinic, S.C.
- Boscobel Counseling Services
All providers in Boscobel, 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 Jun 19, 2014. 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.