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Leah Mikrut, PTA

Physical Therapy Assistant in Milwaukee, WI. Individual provider (NPI-1).

NPI number1164035911
StatusActive
Last updated in NPPESSep 10, 2020

Details

NPI
1164035911
Entity type
Individual (NPI-1)
Name
Leah Mikrut
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 30, 2020
Certification date
Sep 10, 2020
Last updated
Sep 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant3087-19WIYes
225200000X Physical Therapy Assistant––

Practice location

2448 S 102nd St
Milwaukee, WI 53227-2466

Phone 414-329-2500

Mailing address

3315 26th St S
La Crosse, WI 54601-7912

Phone 262-949-9907

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