Individual provider · Type 1 NPI

Miranda Jo Wiegel, PTA

Physical Therapy Assistant · Sun Prairie, WI

NPI number 1790922110 Active

Practice location

41 Rickel Rd
Sun Prairie, WI 53590-1840

Mailing address

N9193 State Road 78
Blanchardville, WI 53516-9632

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1435-019 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1790922110

Miranda Jo Wiegel, PTA's National Provider Identifier is 1790922110, issued on Jan 8, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sun Prairie, WI. The record was last updated on Jan 8, 2009.