Individual
LUKE GROSSKREUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
400 DERONDA ST, AMERY, WI 54001-1404
(715) 268-8171
Mailing address
400 DERONDA ST, AMERY, WI 54001-1404
(715) 268-8171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12881
WI
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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