Individual
NICHOLE DESCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5643 ERIE ST, RACINE, WI 53402-1934
(262) 664-4897
Mailing address
5643 ERIE ST, RACINE, WI 53402-1934
(262) 664-4897
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1782
WI
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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