Individual
SAM EIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9806 W LINCOLN AVE, WEST ALLIS, WI 53227-2234
(414) 750-8747
Mailing address
3034 W VALANNA CT, GLENDALE, WI 53209-2507
(414) 228-8747
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2292-019
WI
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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