Rezachek, Nicole

Rezachek, Nicole is an individual health care provider with primary practice located at N27W5707 Lincoln Blvd , Cedarburg WI 53012-2852. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Rezachek, Nicole can be contacted via phone (262) 376-7676.

Contact Information

Primary practice address
N27W5707 Lincoln Blvd Cedarburg WI 53012-2852
Phone: (262) 376-7676
Fax: (262) 376-5208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2197-19 Wisconsin

Profile Details

NPI number 1326456815
LBN Legal business name Rezachek, Nicole
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2014
Last updated Jul 28th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326456815 NPPES
Wisconsin MEDICAID PENDING APPLICATION

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