Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD GABRIEL IMMEKUS, PT
ActiveMR. EDWARD GABRIEL IMMEKUS, PT is a Physical Therapy Assistant healthcare provider located in SUN PRAIRIE, Wisconsin. NPI 1992977185 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SUN PRAIRIE, WI
Registration Details
- NPI Number
- 1992977185
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2008 (18.356613725997 yrs)
- Last Updated
- Mar 14, 2021
- License
-
10962-024 (WI)
Practice Information
- Address
-
10 TOWER DRSUN PRAIRIE, WI, 535901239Browse WI providers · Browse ZIP 53590
- Phone
- 6088253500
- Fax
- 6088253598
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SUN PRAIRIE, WI
| Name | Credential | NPI |
|---|---|---|
| SHANA BENETEAU | PT | 1417919234 |
| MRS. DAWN MARIE MAGNUSSON | MPT | 1881627651 |
| ROGER F AIELLO | PHYSICAL THERAPIST | 1952512139 |
| MRS. ELIZABETH MARY ROE | PT | 1003094558 |
| MRS. ANGELA KAY PRITZL | PT | 1972773885 |
| MICHELLE L FORD | PT | 1629242177 |
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.