Individual
CATHERINE F NIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1504 MADISON AVE, FORT ATKINSON, WI 53538
(920) 563-9357
(920) 568-6545
Mailing address
426 MCMILLEN ST, FORT ATKINSON, WI 53538-1996
(920) 563-9357
(920) 568-6545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
863-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36105700
—
WI
Enumeration date
08/03/2006
Last updated
07/07/2010
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