Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGEL GRACE WIRZ, PTA
Active Sole ProprietorANGEL GRACE WIRZ, PTA is a Assisted Living Facility healthcare provider located in ANTIGO, Wisconsin. NPI 1891961272 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · ANTIGO, WI
Registration Details
- NPI Number
- 1891961272
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2008 (18.287246592661 yrs)
- Last Updated
- May 5, 2008
- Licenses
-
1344-019 (WI)1344-019 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
729 PARK STANTIGO, WI, 544092745Browse WI providers · Browse ZIP 54409
- Phone
- 7156232356
- Primary Specialty
-
Assisted Living Facility
310400000X
- Additional Specialty
- Assisted Living Facility
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.