IndividualActive
Adrianne Sullivan
NPI 1164975017 · Physical Therapy Assistant · Rice Lake, WI
Provider details
- NPI number
- 1164975017
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2464-19 (WI)
Mailing address
910 Bear Paw Ave
Rice Lake, WI 54868-1388
Registry dates
- Enumerated
- 2016-07-27
- Last updated
- 2016-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.