Individual
GREGORY A CHERBUKOVSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
W63N541 HANOVER AVE, CEDARBURG, WI 53012-1917
(262) 375-2195
(262) 375-2273
Mailing address
W63N541 HANOVER AVE, CEDARBURG, WI 53012-1917
(262) 375-2195
(262) 375-2273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
469-019
WI
225700000X
Massage Therapist
Primary
718-046
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40395700
—
WI
Enumeration date
07/28/2005
Last updated
09/11/2025
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