Provider Demographics
NPI:1730762881
Name:HACHTEL, ARIELLE KRISTINE (ATC)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:KRISTINE
Last Name:HACHTEL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N2083 BLACKHAWK ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:FORT ATKINSON
Mailing Address - State:WI
Mailing Address - Zip Code:53538-9525
Mailing Address - Country:US
Mailing Address - Phone:920-650-2166
Mailing Address - Fax:
Practice Address - Street 1:N2083 BLACKHAWK ISLAND RD
Practice Address - Street 2:
Practice Address - City:FORT ATKINSON
Practice Address - State:WI
Practice Address - Zip Code:53538-9525
Practice Address - Country:US
Practice Address - Phone:920-650-2166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty