# GARETT F ROGSTAD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356536304
- **Gender:** Man
- **Credential:** PT, DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 11053-24 | WI | Yes |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 04/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 36182900 | — | WI |
| 01 | — | 823750006 | MEDICARE PTAN | WI |