Individual
NICOLE C EGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3205 E WASHINGTON AVE STE 1, MADISON, WI 53704-4332
(608) 886-9802
(608) 249-7728
Mailing address
105 CLARMAR DR, SUN PRAIRIE, WI 53590-2675
(608) 318-5929
(608) 318-5922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4316-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100388656
—
WI
Enumeration date
11/20/2025
Last updated
04/09/2026
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