Provider Demographics
NPI:1043877707
Name:ZIEGLER, EMILY FERN (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:FERN
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 GAS LIGHT DR
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-3459
Mailing Address - Country:US
Mailing Address - Phone:608-228-4003
Mailing Address - Fax:
Practice Address - Street 1:1139 GAS LIGHT DR
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-3459
Practice Address - Country:US
Practice Address - Phone:608-228-4003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1466824225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist