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Aidan Anderson

Physical Therapist in Kenosha, WI. Individual provider (NPI-1).

NPI number1861317331
StatusActive
Last updated in NPPESAug 25, 2026

Details

NPI
1861317331
Entity type
Individual (NPI-1)
Name
Aidan Anderson
Sex
Male
Sole proprietor
No
Enumeration date
Aug 12, 2026
Certification date
Aug 25, 2026
Last updated
Aug 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist17921-24WIYes

Other names

  • Dan Anderson (Other Name)

Practice location

3701 80th St
Kenosha, WI 53142-4950

Phone 262-697-1730

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

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