Ketterhagen, Adam Robert

Ketterhagen, Adam Robert is an sole proprietor health care provider with primary practice located at 5340 Washington Ave , Mount Pleasant WI 53406. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ketterhagen, Adam Robert can be contacted via phone (262) 638-1272.

Contact Information

Primary practice address
5340 Washington Ave Mount Pleasant WI 53406
Phone: (262) 638-1272
Fax: (262) 638-1287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12113-24 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9895 Arizona

Profile Details

NPI number 1114273372
LBN Legal business name Ketterhagen, Adam Robert
Credentials PT DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2012
Last updated Jan 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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