Provider Demographics
NPI:1497416713
Name:NOEL, ANDREW FERREE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:FERREE
Last Name:NOEL
Suffix:
Gender:M
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 1:171 S FAIR OAKS AVE APT 209
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-5836
Mailing Address - Country:US
Mailing Address - Phone:317-654-3472
Mailing Address - Fax:
Practice Address - Street 1:2801 COHO ST STE 302
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-4577
Practice Address - Country:US
Practice Address - Phone:608-238-0268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-08
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15610225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist