Brett Vanvlack

Physical Therapy Assistant · Bloomer, WI

Individual Active NPI

NPI number 1558041418

Practice location

2217 Duncan Rd
Bloomer, WI 54724-1214
Phone
(715) 568-9770

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NPI record

NPI
1558041418
Entity type
Individual (Type 1)
Enumeration date
July 24, 2023
Last updated
July 24, 2023
Certified
July 24, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 4108 WI

Mailing address

4835 Southridge Ct Apt 5
Eau Claire, WI 54701-9377
Phone
(715) 209-5201

About Brett Vanvlack

Brett Vanvlack is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 2217 Duncan Rd, Bloomer, WI 54724-1214. The NPI number 1558041418 was assigned on July 24, 2023 and the record was last updated on July 24, 2023.

Brett Vanvlack lists a license in the registry: #4108 (WI) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brett Vanvlack?

The NPI number is 1558041418.

What is the phone number of Brett Vanvlack?

The phone number listed for the practice location is (715) 568-9770.

Where is Brett Vanvlack located?

2217 Duncan Rd, Bloomer, WI 54724-1214.

What is the taxonomy code for Brett Vanvlack?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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