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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. THERESA A WYSOCKI, B.E.

Active Sole Proprietor

MRS. THERESA A WYSOCKI, B.E. is a Physical Therapist Assistant healthcare provider located in PORT WASHINGTON, Wisconsin. NPI 1164623062 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · PORT WASHINGTON, WI

Registration Details

NPI Number
1164623062
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2007 (19.229919756357 yrs)
Last Updated
Feb 1, 2026
License
N.A. (WI)
Sole Proprietor
Yes

Practice Information

Address
575 BRIARWOOD LN
PORT WASHINGTON, WI, 530741322
Browse WI providers · Browse ZIP 53074
Phone
2622844235
Fax
2622844235
Primary Specialty
Physical Therapist Assistant
1744P3200X
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.