NPI 1013111012

Adam Kupietz, PTA

Practitioner Physical Therapy Assistant Burlington, WI

Practice location

Address: 252 McHenry St, Burlington, WI 53105-1828
Phone: (262) 763-2411

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1133-019 (WI)

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Registry record

NPI: 1013111012
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2007
Record last updated: 8 Jul 2007

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.