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Individual

MATTHEW KAUFMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1020 35TH ST, KENOSHA, WI 53140-1932
(262) 652-3500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17269
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100328938
WI
Enumeration date
05/23/2025
Last updated
06/25/2025
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