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

Mr. Neil A Wahlstrom, PT, MBA

Individual provider Physical Therapist · NPI 1780761411

Mr. Neil A Wahlstrom, PT, MBA is a Physical Therapist in Eagle River, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

528 W Pine St
Eagle River, WI 54521-9083
Phone: (715) 477-1523
Fax: (715) 477-1524
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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 5819-024 (WI)

Record details

NPI number1780761411
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , MBA
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMarch 6, 2009

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