Individual
CATHY A WAECKERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1880 N.STEVENS ST., RHINELANDER, WI 54501-0646
(715) 369-0462
Mailing address
1880 N. STEVENS ST., RHINELANDER, WI 54501-0646
(715) 369-0462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40120400
—
WI
Enumeration date
10/02/2006
Last updated
07/08/2007
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