Individual
KYLE JOSEPH WIRKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D-PT
Contact information
Practice address
405 COMMERCIAL ST, SEYMOUR, WI 54165-8474
(920) 833-2318
(920) 833-6883
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15800-24
WI
Other
Enumeration date
06/02/2022
Last updated
07/18/2022
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