Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEAN A TILLERY, PT
ActiveSEAN A TILLERY, PT is a Physical Therapy Assistant healthcare provider located in WAUTOMA, Wisconsin. NPI 1043818081 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WAUTOMA, WI
Registration Details
- NPI Number
- 1043818081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2020 (5.8081651916229 yrs)
- Last Updated
- Apr 10, 2025
- Licenses
-
PT-5076 (HI)16686 (WI)
Practice Information
- Address
-
N2930 STATE ROAD 22WAUTOMA, WI, 549825267Browse WI providers · Browse ZIP 54982
- Phone
- 9207875030
- Fax
- 9207875372
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in WAUTOMA, WI
| Name | Credential | NPI |
|---|---|---|
| ERIC A GULBRONSON | PT | 1720294085 |
| EMILY M MARSHALL | DPT | 1598103442 |
| KAREN A ADERHOLD-CRASS | PT | 1578969341 |
| MICHAEL S WINGROVE | DPT | 1770198012 |
| EMILY FENTON | DPT | 1730852120 |
| KARISA NICOLE GLOUDEMANS | DPT | 1740963057 |
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.