Individual
MICHAEL MCCUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Contact information
Practice address
15537 W STATE ROAD 77, HAYWARD, WI 54843-6132
(715) 634-2165
(715) 634-1846
Mailing address
15537 W STATE ROAD 77, HAYWARD, WI 54843-6132
(715) 634-2165
(715) 634-1846
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3070024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391612886013
BCBSWI
—
01
—
650013194
PALMETTO GBA
—
01
—
WI0003647
TRICARE CLAIMS
—
Enumeration date
10/18/2007
Last updated
12/30/2025
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