Individual
ANDREW PHILLIP REVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7300
(715) 822-7301
Mailing address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7300
(715) 822-7301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13378-24
WI
Other
Enumeration date
05/27/2016
Last updated
04/21/2026
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