Nicole Groth

NPI #1720525074 in Tomah, Wisconsin

Provider Information

NPI Number: 1720525074
Entity Type: Individual
Name: Nicole Groth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 25, 2017
Last Updated: Jan 25, 2017

Practice Location

Address: 500 E VETERANS ST
City: Tomah
State: Wisconsin
ZIP Code: 54660-3105
Phone: (800) 872-8662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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