Individual
CHRISTINE ELLEN THIRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
35 N 28TH ST, SUPERIOR, WI 54880-5557
(715) 392-3300
Mailing address
319 14TH ST, PROCTOR, MN 55810-1204
(218) 929-1479
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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