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

Charmaine A Untiedt

Individual provider Military Health Care Provider · NPI 1790865376

Charmaine A Untiedt is a Military Health Care Provider in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1821 S Stoughton Rd
Madison, WI 53716-2257
Phone: (608) 260-6004
Fax: (608) 260-6906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3330-024 (WI)
Military Health Care Provider Taxonomy 171000000X · Licence 3330-024 (WI)

Record details

NPI number1790865376
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021

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