LYDEL MARIE GERONDALE PTA
NPI 1538668405
Physical Therapy Assistant in Green Bay, WI
About Lydel Marie Gerondale Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDEL MARIE GERONDALE PTA (NPI 1538668405) is an individual physical therapy assistant in Green Bay, Wisconsin, licensed in Wisconsin (2504-19) and active in the NPI registry since February 2018.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lydel Gerondale's NPI number?
The NPI number for Lydel Gerondale is 1538668405. It was assigned to this individual provider in the NPPES registry on February 6, 2018.
Where is Lydel Gerondale located?
Lydel Gerondale practices at 2305 San Luis Pl, Green Bay, WI 54304. The listed phone number is (920) 494-5231.
What is Lydel Gerondale's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Lydel Gerondale was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.