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

MR. TRACY PAUL WILDE, PT

Active

MR. TRACY PAUL WILDE, PT is a Physical Therapy Assistant healthcare provider located in FORT ATKINSON, Wisconsin. NPI 1760402150 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FORT ATKINSON, WI

Registration Details

NPI Number
1760402150
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2006 (20.035452546315 yrs)
Last Updated
Jul 7, 2010
License
5978-024 (WI)

Practice Information

Address
426 MCMILLEN ST
FORT ATKINSON, WI, 535381996
Browse WI providers · Browse ZIP 53538
Phone
9205639357
Fax
9205686545
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FORT ATKINSON, WI

Name Credential NPI
KURT K CHAPMAN PT DPT CSCS 1104852268
KIMBERLEE SUE MCCREA PT 1588698526
MRS. ANNE SCHELIN FARRAR PT 1770517880
MR. PAUL ROBERT INCHA PT 1063431344
MR. ANDREW LIEN PUNSEL MPT 1306866280
MRS. JULIA MARIE NEPPL PT, LAT 1558373035
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.