Search › Wisconsin › 225100000X
Sean Tillery, PT
NPI 1043818081 · on the registry since 2020
Practice
- Address
- N2930 State Road 22
Wautoma, WI 54982 - Phone
- (920) 787-5030
- Fax
- (920) 787-5372
- Organisation at this address
- Heartland Ems, Inc.
Thedacare Medical Center - Berlin, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 740 Kilauea Ave, Hilo, HI
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- HI, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin