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

DAVE SPENCER MAYUELA TABOADA, PHYSICAL THERAPIST

Active

DAVE SPENCER MAYUELA TABOADA, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in TOMAH, Wisconsin. NPI 1255426144 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · TOMAH, WI

Registration Details

NPI Number
1255426144
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.822484370493 yrs)
Last Updated
Jul 8, 2007
License
05007580A (IN)

Practice Information

Address
403 N GLENDALE AVE APT 103
TOMAH, WI, 546601322
Browse WI providers · Browse ZIP 54660
Phone
6083723971
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in TOMAH, WI

Name Credential NPI
MRS. SHANNON LEE UTESCH D.P.T 1588609036
KRISTIN JOY VALEST MS, PT 1821028853
DEENA LYNN OLSON P.T. 1487675922
ALFRED E OYLER PT 1811072879
MRS. KATHRYN J REEDICH P.T. 1083831853
MR. BRUCE LYNN OLSON P.T. 1386802304
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.