Emily Follendorf, PTA
Individual provider Active NPI Physical Therapy Assistant · Mauston, WI
NPI 1801157482 · NPPES record last updated May 31, 2012
Key facts
- NPI
- 1801157482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1844-19 (WI)
- Practice address
- 1050 Division St
Mauston, WI 53948-1931 - Phone
- (608) 847-1422
- NPI assigned
- May 31, 2012
- 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 |
|---|---|---|---|
| 1844-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1844-19 | WI | Yes |
Addresses
Primary practice location
1050 Division St
Mauston, WI 53948-1931
Mailing address
1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-1422
Other providers in Mauston, WI
- Kelly R. Firlus
- Kristen Fischer
- Karen J Fitzgerald
- Michelle Lavonne Floersch
- Carol L Fogleson
- Andrew Forte
- Shelby Foss
- Jennifer Galloway
- Darcy Gaston
- Angela Marie Gatzke-Plamann
All providers in Mauston, 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 31, 2012. 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.