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

BETHANY J NODOLF, PT, DPT, CSCS

Active

BETHANY J NODOLF, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in FOND DU LAC, Wisconsin. NPI 1306026026 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FOND DU LAC, WI

Registration Details

NPI Number
1306026026
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2007 (18.721674132783 yrs)
Last Updated
Nov 9, 2007
License
9529-024 (WI)

Practice Information

Address
421 CAMELOT DR
FOND DU LAC, WI, 549358335
Browse WI providers · Browse ZIP 54935
Phone
9209237940
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FOND DU LAC, WI

Name Credential NPI
MR. SHANE D BAUER P.T. 1144200676
NEIL J GAERTIG PT 1962459917
DAWN M KRAUS MS, PT 1215984265
WENDY M DILLE PT 1386684991
JEFFREY S THIEL PT 1205877545
AMY JO MCFADDEN PT 1881637494
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.