IndividualActive
Scott Pethan, MS, BSN, RN
NPI 1598039943 · Clinical Exercise Physiologist · Oshkosh, WI
Provider details
- NPI number
- 1598039943
- Entity type
- Individual
- Primary specialty
- Clinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, BSN, RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 136064-30 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2700 W 9th Ave
Suite 107
Oshkosh, WI 54904-7247
Phone: (920) 236-1835
Fax: (920) 223-1182
Approximate (ZIP-level) locationGet directions
Mailing address
2700 W 9th Ave
Oshkosh, WI 54904-7247
Registry dates
- Enumerated
- 2012-03-02
- Last updated
- 2012-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.