Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE L. PEDERSON, DPT
ActiveNICOLE L. PEDERSON, DPT is a Physical Therapy Assistant healthcare provider located in RICE LAKE, Wisconsin. NPI 1659498475 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · RICE LAKE, WI
Registration Details
- NPI Number
- 1659498475
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 25, 2007 (19.357981838938 yrs)
- Last Updated
- Feb 6, 2024
- Licenses
-
6343254-4810 (UT)12439 (WI)
Practice Information
- Address
-
2600 S WISCONSIN AVENUESUITE ARICE LAKE, WI, 548687527Browse WI providers · Browse ZIP 54868
- Phone
- 7152363610
- Fax
- 7152363615
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in RICE LAKE, WI
| Name | Credential | NPI |
|---|---|---|
| NANCY ANNE STELLRECHT | PT | 1326020025 |
| MARK DAVID SMITH | PT | 1316995525 |
| BETH J BROWN | PT | 1235148545 |
| PEGGY SUE MARTIN | PT | 1871666727 |
| SHARON K GJERDE | PT | 1467515924 |
| ANNA C VAUGHN | PT | 1962621318 |
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.