Individual
ELIZABETH ZIERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10222 74TH ST STE 211, KENOSHA, WI 53142-6810
(262) 925-5020
(262) 925-5021
Mailing address
600 52ND ST STE 240, KENOSHA, WI 53140-3423
(262) 925-5004
(262) 925-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9636-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
859400064
MEDICARE
WI
01
—
WI2660003
MEDICARE
WI
Enumeration date
08/08/2011
Last updated
02/28/2018
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