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

Sean A Tillery, PT

Individual provider Physical Therapist · NPI 1043818081

Sean A Tillery, PT is a Physical Therapist in Wautoma, Wisconsin. Works from 2 locations. Licensed in Hawaii and Wisconsin.

Licensed in
HI, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

N2930 State Road 22
Wautoma, WI 54982-5267
Phone: (920) 787-5030
Fax: (920) 787-5372
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 740 Kilauea Ave, Hilo, HI 96720-4234 — (808) 935-5255

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16686 (WI)
Physical Therapist Taxonomy 225100000X · Licence PT-5076 (HI)

Record details

NPI number1043818081
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 12, 2020
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

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