Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN R VAN SUSTEREN, PT
Active Sole ProprietorJOHN R VAN SUSTEREN, PT is a Physical Therapy Assistant healthcare provider located in LAKE GENEVA, Wisconsin. NPI 1619192150 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LAKE GENEVA, WI
Registration Details
- NPI Number
- 1619192150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2007 (19.324997601443 yrs)
- Last Updated
- Apr 5, 2010
- License
-
4467024 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 GENEVA PKWY NSUITE 3LAKE GENEVA, WI, 531475701Browse WI providers · Browse ZIP 53147
- Phone
- 2622489902
- Fax
- 2622489419
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LAKE GENEVA, WI
| Name | Credential | NPI |
|---|---|---|
| MATTHEW ALLEN HOFFMAN | P.T. | 1003871716 |
| KELLY J PAULEY | PT | 1124054226 |
| MRS. TARA M. GROCHOLSKI | PT | 1134217763 |
| MRS. SUZANNE BALISTRERI-RODEN | P.T. | 1639234297 |
| KATHRYN J DAVEY | PT | 1245381433 |
| KERRY A. CATES | PT | 1679624860 |
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.