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

Individual provider Physical Therapy Assistant · NPI 1487953592

Mrs. Tammy Luella Gagnon, PTA is a Physical Therapy Assistant in Wautoma, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011
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

W6990 S Silver Lake Rd
Wautoma, WI 54982-5890
Phone: (920) 787-4766
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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 1129-019 (WI)

Record details

NPI number1487953592
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 16, 2011
Last updated in NPPESMarch 16, 2011

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