Provider Demographics
NPI:1255893574
Name:MYHRE, MARGARET S (PT)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:S
Last Name:MYHRE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 BIG BAY RD
Mailing Address - Street 2:
Mailing Address - City:LA POINTE
Mailing Address - State:WI
Mailing Address - Zip Code:54850-4422
Mailing Address - Country:US
Mailing Address - Phone:715-747-2722
Mailing Address - Fax:
Practice Address - Street 1:241 BIG BAY RD
Practice Address - Street 2:
Practice Address - City:LA POINTE
Practice Address - State:WI
Practice Address - Zip Code:54850-4422
Practice Address - Country:US
Practice Address - Phone:715-747-2722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14524-242251E1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics