Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRESTA ELIZABETH NUTTER, C.T.R.S.
ActiveCRESTA ELIZABETH NUTTER, C.T.R.S. is a Recreation Therapist healthcare provider located in OCONOMOWOC, Wisconsin. NPI 1073539649 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · OCONOMOWOC, WI
Registration Details
- NPI Number
- 1073539649
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2006 (20.047411080341 yrs)
- Last Updated
- Jul 8, 2007
- License
-
53913 (WI)
Practice Information
- Address
-
W274 HILLENDALE DROCONOMOWOC, WI, 530665528Browse WI providers · Browse ZIP 53066
- Phone
- 2625674865
- Primary Specialty
-
Recreation Therapist
225800000X
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.