IndividualActive
Amanda Hagen, PTA
NPI 1922543115 · Physical Therapy Assistant · Baraboo, WI
Provider details
- NPI number
- 1922543115
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2399-19 (WI)
Mailing address
1414 Jefferson St
Baraboo, WI 53913-1503
Registry dates
- Enumerated
- 2016-12-27
- Last updated
- 2016-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.