Denise Urbaniak
Individual provider Active NPI Physical Therapy Assistant · South Range, WI
NPI 1891166526 · NPPES record last updated Oct 7, 2015
Key facts
- NPI
- 1891166526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 8274 E San Rd
South Range, WI 54874-8621 - Phone
- (715) 398-3523
- NPI assigned
- Oct 7, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
8274 E San Rd
South Range, WI 54874-8621
Mailing address
8274 E San Rd
South Range, WI 54874-8621
Other providers in South Range, WI
- Middle River Rehabilitation LLC
- Rachel Larae Piotrowski
- Harly Prentice
- Heidi Catherine Puhl
- Stacy Raaflaub
- Amy B Zembo
All providers in South Range, 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 Oct 7, 2015. 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.