Most Relevant Information
Provider Data
| NPI Number: | 1003587536 |
| Provider Name: | CHANDLER RIEM |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070.026282 |
Most Important Dates
| Enumeration Date: | 09/23/2021 |
| Last Updated: | 05/09/2023 |
Provider Practice Location
2105 N ENTERPRISE AVE
APPLETON
WI
549135491
Practice Location Phone/Fax
| Phone: | 9205601000 |
| Fax: |
Provider Mailing Location
300 W PAPERMILL RUN UNIT 202
KIMBERLY
WI
541365507
Provider Mailing Phone/Fax
| Phone: | 6186946681 |
| Fax: |