Konrad Wiese, PTA
NPI #1376412734 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1376412734
- Entity Type
- Individual
- Name
- Konrad Wiese, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 3, 2025
- Last Updated
- Nov 3, 2025
Practice Location
- Address
- 3538 CALUMET AVE
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-2246
- Phone
- (219) 316-7470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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