MR. Tracy Paul Wilde, PT

NPI #1760402150 in Fort Atkinson, Wisconsin

Provider Information

NPI Number: 1760402150
Entity Type: Individual
Name: MR. Tracy Paul Wilde, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 20, 2006
Last Updated: Jul 7, 2010

Practice Location

Address: 426 MCMILLEN ST
City: Fort Atkinson
State: Wisconsin
ZIP Code: 53538-1996
Phone: (920) 563-9357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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