Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. EVA MARIE GUSTAFSON, PT
Active Sole ProprietorMRS. EVA MARIE GUSTAFSON, PT is a Physical Therapy Assistant healthcare provider located in PORT WING, Wisconsin. NPI 1730352758 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PORT WING, WI
Registration Details
- NPI Number
- 1730352758
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2008 (18.164515781093 yrs)
- Last Updated
- Apr 10, 2008
- License
-
4231-024 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7830 STATE HIGHWAY 13PORT WING, WI, 548654721Browse WI providers · Browse ZIP 54865
- Phone
- 7157743195
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.