Ksr Performance Physical Therapy LLC

NPI #1083222376 in Franklin, Wisconsin

Provider Information

NPI Number: 1083222376
Entity Type: Organization
Organization Name: Ksr Performance Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 22, 2020
Last Updated: Jul 29, 2020

Practice Location

Address: 5070 W RAWSON AVE
City: Franklin
State: Wisconsin
ZIP Code: 53132-9448
Phone: (414) 377-9765

Authorized Official

Name: KRISTEN RUSSO, PT
Title: OWNER
Phone: (209) 487-4979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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