MEDICARE: DR. ALEX VILES JOSEPH DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	10693-024	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831364918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX VILES JOSEPH DPT

Provider Business Mailing Address
First Line	:	10425 W NORTH AVE STE 324
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-2400
Country	:	US
Telephone Number	:	414-502-8686
Fax Number	:	414-435-0253

Provider Business Practice Location Address
First Line	:	10425 W NORTH AVE STE 324
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-2400
Country	:	US
Telephone Number	:	414-502-8686
Fax Number	:	414-435-0253

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	02/28/2019

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