Robert Burge, PTA
Physical Therapy Assistant in Whitehall, WI. Individual provider (NPI-1).
NPI number1962020487
StatusActive
Last updated in NPPESOct 4, 2025
Details
- NPI
- 1962020487
- Entity type
- Individual (NPI-1)
- Name
- Robert Burge
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2020
- Certification date
- Oct 4, 2025
- Last updated
- Oct 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2729-19 | WI | Yes |
Practice location
18601 Lincoln StWhitehall, WI 54773-8605
Phone 715-538-4361
Mailing address
18601 Lincoln StWhitehall, WI 54773-8605
Phone 715-538-4361
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