Anthony Jack Ettmayer JR. PT

NPI 1457649352 - Physical Therapist - 225100000X

NPI Details
NPI 1457649352
Gender Male
Enumeration Date 07/13/2011
Last Updated 07/13/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1119 N WISCONSIN ST
PORT WASHINGTON WI, 53074-1209, US
Phone (262) 284-5892
Fax
Business Location
1119 N WISCONSIN ST
PORT WASHINGTON WI, 53074-1209, US
Phone (262) 284-5892
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 11821-024
Remove 1457649352 NPI Number
 

According to our database, Mr. Anthony Jack Ettmayer JR. PT NPI is 1457649352, taxonomy code is 225100000X and license number is 11821-024, license state is located at Wisconsin. Anthony Jack Ettmayer JR. PT physically located at 1119 N Wisconsin St, Port Washington WI, 53074-1209. NPI Number Anthony Jack Ettmayer JR. PT has the Individual type.

Sponsored links

1457649352 NPI number is provided on an as is basis without warranty of any kind. 1457649352 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Jack Ettmayer JR. PT are for informational purposes only.