Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD J. DEAVER, P.T.
Active Sole ProprietorRICHARD J. DEAVER, P.T. is a Physical Therapy Assistant healthcare provider located in THREE LAKES, Wisconsin. NPI 1255508917 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · THREE LAKES, WI
Registration Details
- NPI Number
- 1255508917
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2008 (18.253269671181 yrs)
- Last Updated
- May 13, 2008
- License
-
963-024 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7754 BRAEGER RDTHREE LAKES, WI, 545629207Browse WI providers · Browse ZIP 54562
- Phone
- 7155468026
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.