Organization
KSR PERFORMANCE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN RUSSO PT (OWNER)
(209) 487-4979
Entity
Organization
Contact information
Practice address
5070 W RAWSON AVE, FRANKLIN, WI 53132-9448
(414) 377-9765
Mailing address
5070 W RAWSON AVE, FRANKLIN, WI 53132-9448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/29/2020
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