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Organization

KINETIC SPORTS MEDICINE AND PERFORMANCE LLC

Active
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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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