Organization
KINETIC SPORTS MEDICINE AND PERFORMANCE LLC
Active
Other names
Kinetic Sports Medicine and Performance
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FALK PT, DPT, ATC (OWNER, PRESIDENT)
(214) 687-6775
Entity
Organization
Contact information
Practice address
405 GENESEE ST, DELAFIELD, WI 53018-1814
(262) 337-9331
Mailing address
N29W29682 FRANCISCAN RD, PEWAUKEE, WI 53072-3208
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
14121-24
WI
Other
Enumeration date
04/14/2018
Last updated
03/10/2023
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