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

THERESA WIEDERODER, DPT

Active Sole Proprietor

THERESA WIEDERODER, DPT is a Physical Therapy Assistant healthcare provider located in KALAHEO, Hawaii. NPI 1821341181 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · KALAHEO, HI

Registration Details

NPI Number
1821341181
Provider Type
Individual
Gender
Female
NPI Issued
Oct 23, 2012 (13.780078465238 yrs)
Last Updated
Oct 23, 2012
Licenses
PT3563 (HI)
5501003076 (MI)
Sole Proprietor
Yes

Practice Information

Address
1178 PUA MELIA ST
KALAHEO, HI, 96741
Browse HI providers · Browse ZIP 96741
Phone
9898592222
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in KALAHEO, HI

Name Credential NPI
THOMAS A HAZELTON 1285730226
DANIEL E SCHAAL PT 1871699827
MICHELLE PACILIO MPT 1275639221
JESSE ROGER PASAG P.T., D.P.T. 1962699694
DR. EMELIA LOREN HARAGUCHI PT, DPT 1841567179
PAULETTE LUM PT 1033488713
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.