IndividualActive
Amanda Fussy, PTA
NPI 1619114683 · Physical Therapy Assistant · Menomonie, WI
Provider details
- NPI number
- 1619114683
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 1547-19 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
915 Elm Ave E
Menomonie, WI 54751-1613
Phone: (715) 235-9041
Fax: (715) 235-2289
Approximate (ZIP-level) locationGet directions
Mailing address
915 Elm Ave E
Menomonie, WI 54751-1613
Registry dates
- Enumerated
- 2009-01-13
- Last updated
- 2009-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.