Organization
WISCONSIN ATHLETIC CLUB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT ALT (PHYSICAL THERAPIST)
(414) 228-2800
Entity
Organization
Contact information
Practice address
7601 N PORT WASHINGTON RD, GLENDALE, WI 53217-3128
(414) 228-2800
Mailing address
10840 W ROGERS ST, WEST ALLIS, WI 53227-1135
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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