Individual
KURTIS J SUSTACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1813 ASHLAND AVE, SHEBOYGAN, WI 53081-6125
(920) 458-4010
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2338
(414) 385-8987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14727
WI
Other
Enumeration date
06/20/2019
Last updated
12/28/2021
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