Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADAM ROBERT KETTERHAGEN, PT DPT
Active Sole ProprietorADAM ROBERT KETTERHAGEN, PT DPT is a Physical Therapy Assistant healthcare provider located in MOUNT PLEASANT, Wisconsin. NPI 1114273372 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MOUNT PLEASANT, WI
Registration Details
- NPI Number
- 1114273372
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2012 (14.062012631038 yrs)
- Last Updated
- Jan 4, 2019
- Licenses
-
12113-24 (WI)9895 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5340 WASHINGTON AVEMOUNT PLEASANT, WI, 53406Browse WI providers · Browse ZIP 53406
- Phone
- 2626381272
- Fax
- 2626381287
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in MOUNT PLEASANT, WI
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL JAMES GAGE | PHYSICAL THERAPIST | 1639176431 |
| DIANNA MARIE HANSON | PT | 1982667853 |
| MRS. ELIZABETH MELIS | PT | 1104854447 |
| MRS. JEANETTE MARIE DE WITT | PT, ATC | 1528087442 |
| JANIKA N HENOCH | — | 1912920398 |
| MRS. KIMBERLY LYNN ARBINGER | PT | 1609983097 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.