Individual
GARRETT ALAN MCELFRESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7235 W APPLETON AVE, MILWAUKEE, WI 53216-1932
(414) 815-6700
(414) 755-1434
Mailing address
PO BOX 639, THIENSVILLE, WI 53092-0639
(414) 247-9005
(414) 247-9004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6339-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235170648
—
WI
01
—
137463301
WORK COMP
—
01
—
DC1669 P00151881
MEDICARE RAILROAD
—
Enumeration date
06/09/2006
Last updated
06/06/2014
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