Christie Iva Gustafson, LPTA

NPI #1932436789 in Washburn, Wisconsin

Provider Information

NPI Number: 1932436789
Entity Type: Individual
Name: Christie Iva Gustafson, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Nov 13, 2009
Last Updated: Sep 10, 2015

Practice Location

Address: 706 BRATLEY DRIVE
City: Washburn
State: Wisconsin
ZIP Code: 54891
Phone: (715) 373-6425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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