Individual
KURT ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5750 N GLEN PARK RD, GLENDALE, WI 53209-4403
(414) 351-8888
(414) 351-5219
Mailing address
701 E CARLISLE AVE, WHITEFISH BAY, WI 53217-4835
(414) 963-9850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2540-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891711008
CLINIC NPI
WI
05
—
40116400
—
WI
Enumeration date
01/23/2007
Last updated
07/08/2007
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