Individual
CHRISTOPHER WACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
215 WASHINGTON ST, GRAFTON, WI 53024-1700
(262) 376-6030
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 329-2736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11380
WI
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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