Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD POLK, PT
ActiveRICHARD POLK, PT is a Physical Therapy Assistant healthcare provider located in RANDOM LAKE, Wisconsin. NPI 1225233323 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · RANDOM LAKE, WI
Registration Details
- NPI Number
- 1225233323
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2007 (19.171994044878 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4734-024 (WI)
Practice Information
- Address
-
N546 SCHROETER DRRANDOM LAKE, WI, 530751272Browse WI providers · Browse ZIP 53075
- Phone
- 9202073550
- Fax
- 9209944606
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in RANDOM LAKE, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. MARLENA ELIZABETH SALAZAR | PT | 1417901141 |
| MICHELLE M GRACE-JENSEN | PT | 1780625764 |
| MRS. JULIE M. SCHMITT | PT | 1700043437 |
| MS. VIRGINIA K BOWEN | P.T. | 1790916443 |
| ABBY LYNN RISSE | PT | 1487988432 |
| ELLEN GRANDAW MARTIN | — | 1902572571 |
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.