Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN BIRCHLER WISE, DPT, PT, MS, ATC
ActiveDR. JONATHAN BIRCHLER WISE, DPT, PT, MS, ATC is a Environmental Modification (OT) healthcare provider located in BLOOMINGTON, Minnesota. NPI 1346613437 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1346613437
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2015 (10.730061831288 yrs)
- Last Updated
- Jul 6, 2022
- Licenses
-
36002462A (IN)12745 (MN)
Practice Information
- Address
-
3800 AMERICAN BLVD W # 200BLOOMINGTON, MN, 554314420Browse MN providers · Browse ZIP 55431
- Phone
- 9528318742
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Environmental Modification (OT)
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.