Individual
KOURTNEY BUELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6710 UNIVERSITY AVE, MIDDLETON, WI 53562-2764
(608) 820-1300
(608) 836-9672
Mailing address
105 CLARMAR DR, SUN PRAIRIE, WI 53590-2675
(608) 318-5929
(608) 318-5922
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
1518424
WI
225100000X
Physical Therapist
Primary
15184-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205442373
—
WI
Enumeration date
09/23/2020
Last updated
01/30/2026
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