Teresa Denise Bare-Inman
Individual provider Active NPI Physical Therapy Assistant · Prairie Du Sac, WI
NPI 1780249243 · NPPES record last updated May 9, 2019
Key facts
- NPI
- 1780249243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1952-19 (WI)
- Practice address
- 260 26TH St
Prairie Du Sac, WI 53578-2203 - Phone
- (608) 643-3311
- NPI assigned
- May 9, 2019
- 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 |
|---|---|---|---|
| 1952-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1952-19 | WI | Yes |
Addresses
Primary practice location
260 26TH St
Prairie Du Sac, WI 53578-2203
Mailing address
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-3311
Other providers in Prairie Du Sac, WI
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- Ballweg Family Pharmacy Inc
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- Dennis John Ballweg
- Randall E Ballweg
- Kristine A Bathke
- Shana Becker-Lindow
- Nicole Carin Been
- Laura Elizabeth Bixby
- Samantha Jo Boll
All providers in Prairie Du Sac, 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 9, 2019. 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.