Individual
MS. BETH RENEE GUNDLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(715) 552-1030
Mailing address
2819 RICHARD DR, EAU CLAIRE, WI 54701-6340
(715) 563-2693
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1299-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36108300
—
WI
Enumeration date
12/13/2006
Last updated
10/08/2025
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