NPI 1396842720

Edward M. Leitze, PTA

Practitioner Physical Therapy Assistant Hudson, WI

Practice location

Address: 2705 Enloe St, Hudson, WI 54016-8173
Phone: (715) 386-2128
Fax: (715) 386-6119
Mailing address: 211 Warwick St SE, Minneapolis, MN 55414-3622

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 451 (WI)

Other Physical Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1396842720
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 9 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.