Nedrelo, Roxann Kay
Nedrelo, Roxann Kay is an individual health care provider with primary practice located at 1311 Tyler St , Black River Falls WI 54615-1564. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Nedrelo, Roxann Kay can be contacted via phone (715) 284-4396.Contact Information
Primary practice address
1311 Tyler St
Black River Falls WI 54615-1564
Phone: (715) 284-4396
Fax: (715) 284-9580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2455-024 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4377 | Minnesota |
Profile Details
| NPI number | 1568638401 |
|---|---|
| LBN Legal business name | Nedrelo, Roxann Kay |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Apr 30th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568638401 | NPPES |
| Wisconsin | MEDICAID | 40116900 |
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