Search › Wisconsin › 225X00000X
Tammy Gustafson, OTR
NPI 1912174616 · on the registry since 2008 · sole proprietor
Practice
- Address
- 706 Bratley Drive
Washburn, WI 54891 - Phone
- (715) 373-6425
- Fax
- (715) 373-5655
- Organisation at this address
- Northern Lights Services, Inc.
Northern Lights Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-11
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