Individual
DENISE K WIPPERFURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
240 MAPLE STREET, WOODRUFF, WI 54568-0470
(715) 356-8000
Mailing address
240 MAPLE STREET, PO BOX 470, WOODRUFF, WI 54568-0470
(715) 356-8000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1159-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36109100
—
WI
Enumeration date
10/17/2006
Last updated
03/25/2013
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