IndividualActive
Daniel Tellijohn, CP
NPI 1407716533 · Prosthetist · Wausau, WI
Provider details
- NPI number
- 1407716533
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CP
- Sex
- Male
- Sole proprietor
- No
- License
- CP003277 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1700 Stewart Ave Ste 300
Wausau, WI 54401-5345
Phone: (715) 679-3776
Fax: (715) 841-0087
Approximate (ZIP-level) locationGet directions
Mailing address
1700 Stewart Ave Ste 300
Wausau, WI 54401-5345
Registry dates
- Enumerated
- 2025-11-12
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.