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

Magnolia Mae Grenawalt, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1003535071

Magnolia Mae Grenawalt, PTA is a Physical Medicine & Rehabilitation Physician in New Glarus, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022
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

600 2nd Ave
New Glarus, WI 53574-9776
Phone: (608) 527-4390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 4002-19 (WI)

Record details

NPI number1003535071
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 24, 2022
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022

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