Futachai Rasavong, M.P.T.

NPI #1225184013 in Hales Corners, Wisconsin

Provider Information

NPI Number: 1225184013
Entity Type: Individual
Name: Futachai Rasavong, M.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: M.P.T.
Enumeration Date: Jan 26, 2007
Last Updated: Jul 9, 2021

Practice Location

Address: 5301 S 108TH ST
City: Hales Corners
State: Wisconsin
ZIP Code: 53130-1332
Phone: (414) 529-7375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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