NPI 1023521663

Tyler Raymaker, DPTPT

Practitioner Physical Therapist Kenosha, WI

Practice location

Address: 3701 80th St, Kenosha, WI 53142-4950
Phone: (262) 697-1730
Mailing address: 625 Enterprise Dr, Oak Brook, IL 60523-8813

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 13966-24 (WI)

Other Physical Therapist providers in Wisconsin →

Registry record

NPI: 1023521663
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2017
Record last updated: 17 Mar 2018

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.