Individual
GRANT MANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
103 S PIONEER RD STE 100, FOND DU LAC, WI 54935-3847
(920) 922-7776
Mailing address
103 S PIONEER RD STE 100, FOND DU LAC, WI 54935-3847
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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