Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NATHAN REID DETERVILLE, PT, DPT
ActiveDR. NATHAN REID DETERVILLE, PT, DPT is a Physical Therapy Assistant healthcare provider located in GREEN BAY, Wisconsin. NPI 1487487237 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GREEN BAY, WI
Registration Details
- NPI Number
- 1487487237
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2024 (1.942251864997 yrs)
- Last Updated
- Aug 26, 2024
- License
-
16963-24 (WI)
Practice Information
- Address
-
933 ANDERSON DR STE GGREEN BAY, WI, 543045098Browse WI providers · Browse ZIP 54304
- Phone
- 9203096588
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| MR. CORY W PEED | PT | 1710989447 |
| SARA E ADAMS | PT | 1255329983 |
| RACHELLE B SCHROEDER | PT | 1790760247 |
| TODD A WINNEY | PT | 1154306611 |
| DAVID ALLEN GROOP | PT | 1265417869 |
| CHERYL L HAAG | PT | 1427033026 |
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.