Individual
EMMETT TY KREBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2301 N LAKE DR FL 2, MILWAUKEE, WI 53211-4508
(414) 585-1066
Mailing address
2301 N LAKE DR FL 2, MILWAUKEE, WI 53211-4508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3225-19
WI
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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