Provider Demographics
NPI:1043392947
Name:GINTHER, CHERYL JO (PT)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:JO
Last Name:GINTHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:512 MEANDER WOOD RD
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:WI
Mailing Address - Zip Code:53575-3017
Mailing Address - Country:US
Mailing Address - Phone:608-698-3266
Mailing Address - Fax:608-455-1669
Practice Address - Street 1:512 MEANDER WOOD RD
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:WI
Practice Address - Zip Code:53575-3017
Practice Address - Country:US
Practice Address - Phone:608-698-3266
Practice Address - Fax:608-455-1669
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2293-0242251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40242600Medicaid