Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTHONY JACK ETTMAYER JR., PT
ActiveMR. ANTHONY JACK ETTMAYER JR., PT is a Physical Therapy Assistant healthcare provider located in PORT WASHINGTON, Wisconsin. NPI 1457649352 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PORT WASHINGTON, WI
Registration Details
- NPI Number
- 1457649352
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2011 (15.104642516899 yrs)
- Last Updated
- Jul 13, 2011
- License
-
11821-024 (WI)
Practice Information
- Address
-
1119 N WISCONSIN STPORT WASHINGTON, WI, 530741209Browse WI providers · Browse ZIP 53074
- Phone
- 2622845892
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PORT WASHINGTON, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. KIMBERLY BURNS KLUG | PT | 1407809882 |
| MRS. KATHLEEN ELEANOR CHIER | P.T. | 1467499434 |
| BRYAN CANFIELD | — | 1528002904 |
| DAVID ARTHUR PETERSON | PT | 1215971627 |
| CHERYL M PETERSEN | PT | 1467471102 |
| SHERI L BUNYAN | PT | 1144354804 |
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.