Braeden Nelson St.pierre, PTA

NPI #1164007969 in Baldwin, Wisconsin

Provider Information

NPI Number: 1164007969
Entity Type: Individual
Name: Braeden Nelson St.pierre, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 12, 2021
Last Updated: Jul 6, 2021

Practice Location

Address: 650 BIRCH ST
City: Baldwin
State: Wisconsin
ZIP Code: 54002-9348
Phone: (715) 684-3231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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