Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Braeden Nelson St Pierre, PTA

Individual provider Physical Therapy Assistant · NPI 1164007969

Braeden Nelson St Pierre, PTA is a Physical Therapy Assistant in Baldwin, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

650 Birch St
Baldwin, WI 54002-9348
Phone: (715) 684-3231
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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 3154-19 (WI)

Record details

NPI number1164007969
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 12, 2021
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021

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