# BALISTRERI & ASSOCIATES PHYSICAL THERAPY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861597262
- **Authorized official:** MRS. SUZANNE BALISTRERI-RODEN (OWNER)
- **Authorized official phone:** (262) 942-0163

## Contact information

- **Practice address:** 1135 PRARIE DRIVE, RACINE, WI 53406
- **Practice address phone:** (262) 886-6780
- **Practice address fax:** (262) 886-6710
- **Mailing address:** 6926 39TH AVENUE, KENOSHA, WI 53142
- **Mailing address phone:** (262) 942-0163
- **Mailing address fax:** (262) 697-1576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 03/03/2008