Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL BROCK
Active Sole ProprietorSAMUEL BROCK is a Physical Therapy Assistant healthcare provider located in APPLETON, Wisconsin. NPI 1588310221 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · APPLETON, WI
Registration Details
- NPI Number
- 1588310221
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2022 (4.4798721989784 yrs)
- Last Updated
- Feb 22, 2022
- License
-
15650 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1101 E SOUTH RIVER STAPPLETON, WI, 549152223Browse WI providers · Browse ZIP 54915
- Phone
- 9209972884
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in APPLETON, WI
| Name | Credential | NPI |
|---|---|---|
| MR. GERALD T TATE | PT | 1396747010 |
| MR. PHILIP D SORENSON | PT | 1326040056 |
| MR. JEFFREY S JETER | PT | 1134121858 |
| MR. ROBERT P WORTH | PT | 1811999584 |
| MR. TERRY J MOORE | PT | 1720080492 |
| RONALD S MILLER | PT | 1336131465 |
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.