| Organization Name: | KERK PHYSICAL THERAPY SPECIALISTS SC |
| NPI Number: | 1275582496 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW J KERK (PRESIDENT) |
| Mailing Address: | 1177 Quail Ct Ste 200 Pewaukee |
| State: | WI US |
| Postal Code: | 53072 |
| Phone Number: | 2626953057 |
| Fax Number: | 2626953063 |
| NPI Enumeration Date: | 05/06/2006 |
| NPI Last Update Date: | 08/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |