Search › Wisconsin › 176B00000X
Tjaden Potter, CPM, LM
NPI 1639914336 · on the registry since 2024 · sole proprietor
Practice
- Address
- 23675 Destiny Ave
Tomah, WI 54660 - Phone
- (608) 639-0356
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-26
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