Nathaniel S Bothfeld, PT

NPI #1124376892 in Beloit, Wisconsin

Provider Information

NPI Number: 1124376892
Entity Type: Individual
Name: Nathaniel S Bothfeld, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 28, 2012
Last Updated: Mar 1, 2016

Practice Location

Address: 1650 LEE LN
Address 2: OCCUPATION HEALTH PORTS & FAMILY MEDICINE CENTER
City: Beloit
State: Wisconsin
ZIP Code: 53511-3935
Phone: (608) 362-0211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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