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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALEXANDER JERROLD EGGEN, DPT

Active

DR. ALEXANDER JERROLD EGGEN, DPT is a Physical Therapy Assistant healthcare provider located in SHELL LAKE, Wisconsin. NPI 1003474065 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SHELL LAKE, WI

Registration Details

NPI Number
1003474065
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2019 (7.1506625314849 yrs)
Last Updated
Jun 4, 2019
License
14606-24 (WI)

Practice Information

Address
113 4TH AVE
SHELL LAKE, WI, 548714457
Browse WI providers · Browse ZIP 54871
Phone
7154687833
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SHELL LAKE, WI

Name Credential NPI
MR. JOEL FORDYCE ANDERSON PT 1316905482
RACHEL L THOMAS DPT 1508533605
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.