Individual
COLTEN HAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6400
Mailing address
2925 STEVENS ST, MADISON, WI 53705-3510
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
15967-24
WI
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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