NPI 1003084005

Brent Bode, PT

Practitioner Physical Therapist Milwaukee, WI

Practice location

Address: 807 N Jefferson St, Milwaukee, WI 53202-8150
Phone: (414) 224-8219
Fax: (414) 224-8246
Mailing address: 1177 Quail CT Suite 200, Pewaukee, WI 53072-3790

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 10968 (WI)

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Registry record

NPI: 1003084005
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2008
Record last updated: 3 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.