Individual
BRIAN L BUTKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6735 W BRADLEY RD, MILWAUKEE, WI 53223-3325
(414) 354-3300
Mailing address
11651 WEST GRANGE AVE, HALES CORNERS, WI 53130
(414) 529-2228
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
777-019
WI
Other
Enumeration date
05/01/2007
Last updated
02/07/2014
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