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General NPI Number Information
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NPI Number | 1881643005
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Entity Type | Organization
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Legal Business Name | KERK PHYSICAL THERAPY SPECIALISTS SC
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 731 N. JACKSON STREET SUITE 800
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City | MILWAUKEE
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State | WI
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Zip | 53202-4612
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Country | US
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Telephone | 414-224-8219
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Fax | 414-224-8246
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Provider Business Mailing Address
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Address Line | 1177 QUAIL CT STE 200
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City | PEWAUKEE
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State | WI
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Zip | 53072
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Country | US
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Telephone | 262-695-3057
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Fax | 262-695-3063
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW J KERK
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Credential | PT
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Telephone | 262-695-3057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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