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Search › Wisconsin › 225200000X

Derek Nystrom, PTA

NPI 1801397187 · on the registry since 2018

Practice

Address
1109 W Clairemont Ave
Eau Claire, WI 54701
Phone
(715) 717-5367
Organisation at this address
Sacred Heart Hospital Of The Hospital Sisters Of The 3rd Order Of St F
Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St. Francis
St Josephs Hospital Of The Hospital Sisters Of The 3rd Order Of St Fra
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Additional practice sites

  • 2509 County Highway I, Chippewa Falls, WI

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-29

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