Organization
KERK PHYSICAL THERAPY SPECIALISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J KERK PT (PRESIDENT)
(262) 695-3057
Entity
Organization
Contact information
Practice address
1177 QUAIL CT, STE 200, PEWAUKEE, WI 53072
(262) 695-3057
(262) 695-3063
Mailing address
1177 QUAIL CT, STE 200, PEWAUKEE, WI 53072
(262) 695-3057
(262) 695-3063
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40424300
—
WI
Enumeration date
05/06/2006
Last updated
04/09/2025
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