Individual
CONRAD MICHOLAS BOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PT
Contact information
Practice address
1221 WHIPPLE STREET, EAU CLAIRE, WI 54703-5200
(715) 838-5222
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17343-24
WI
225100000X
Physical Therapist
Primary
17445-24
WI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/23/2021
Last updated
08/12/2025
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