NICOLE C BUSS

GREEN BAY, WI
NPI1568952604
Former NameNICOLE C MATZKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  14210-24)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2018-05-15
Last Update Date2020-09-22
Business Address
NICOLE C BUSS D-PT
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-7822
Mailing Address
NICOLE C BUSS D-PT
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222