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General NPI Number Information
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NPI Number | 1366710584
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Entity Type | Organization
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Legal Business Name | ATHLETIC & THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC
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Dates
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Enumeration Date | 12/02/2011
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 5502 WASHINGTON AVE SUITE 500
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City | MOUNT PLEASANT
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State | WI
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Zip | 53406-4093
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Country | US
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Telephone | 262-637-2470
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Fax | 262-637-2532
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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Country | US
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Telephone | 630-296-2222
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Fax |
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | WADE A MEYER
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Credential |
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Telephone | 630-296-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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