Organization
KENOSHA ACHIEVEMENT CENTER
Active
Organization
KENOSHA ACHIEVEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE WEYKER (CEO)
(262) 658-9500
Entity
Organization
Contact information
Practice address
1218 79TH ST, KENOSHA, WI 53143-6111
(262) 658-9500
(262) 658-9621
Mailing address
1218 79TH ST, KENOSHA, WI 53143-6111
(262) 658-9500
(262) 764-0751
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41217500
—
WI
Enumeration date
04/26/2006
Last updated
01/08/2026
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