Individual
TRACIE L WUTHRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2620 WAUNONA WAY, MADISON, WI 53713
(608) 223-1452
Mailing address
804 E 2ND AVE, BRODHEAD, WI 53520
(608) 558-8818
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2543-19
WI
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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