Gregory Ketz

NPI #1356833362 in Shorewood, Wisconsin

Provider Information

NPI Number: 1356833362
Entity Type: Individual
Name: Gregory Ketz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 5, 2018
Last Updated: Jun 5, 2018

Practice Location

Address: 3970 N OAKLAND AVE
Address 2: STE 102
City: Shorewood
State: Wisconsin
ZIP Code: 53211
Phone: (414) 963-6330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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