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

COLE A TIDEMANN, PT, DPT

Active

COLE A TIDEMANN, PT, DPT is a Physical Therapy Assistant healthcare provider located in GLENDALE, Wisconsin. NPI 1720670706 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GLENDALE, WI

Registration Details

NPI Number
1720670706
Provider Type
Individual
Gender
Male
NPI Issued
Feb 10, 2021 (5.4913549466176 yrs)
Last Updated
Feb 17, 2025
Licenses
PT028865 (PA)
16080-24 (WI)

Practice Information

Address
5333 N PORT WASHINGTON RD STE B
GLENDALE, WI, 532174914
Browse WI providers · Browse ZIP 53217
Phone
4147161770
Fax
4147161772
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in GLENDALE, WI

Name Credential NPI
MRS. CRYSTAL M TOLL PT 1144275504
MRS. AMY PARRY PT 1891733689
ELISABETH ANN DAVIS P.T. 1356385546
NICOLE L VALK 1346266178
MS. MICHELLE WILSON SCHOFIELD P.T. 1043321177
KURT ALT PT 1194879270
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.