Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anissa Jyshae McGlory-Mirabal, PTA

Individual provider Physical Therapy Assistant · NPI 1609650795

Anissa Jyshae McGlory-Mirabal, PTA is a Physical Therapy Assistant in Wausau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

333 Pine Ridge Blvd
Wausau, WI 54401-4187
Phone: (715) 847-2826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4113-19 (WI)

Record details

NPI number1609650795
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

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