Individual
ERIK KUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10725 N EXECUTIVE CT, MEQUON, WI 53092-4602
(262) 388-6262
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13672
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064202
—
WI
Enumeration date
01/10/2017
Last updated
02/19/2024
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