OrganizationActive
Evolve Physical Therapy and Sports Medicine LLC
NPI 1043924319 · Physical Therapy Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1043924319
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Will Brucker, Clinic Owner(309) 287-2526
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2691 N Lake Dr
Milwaukee, WI 53211-3838
Phone: (414) 840-9409
Approximate (ZIP-level) locationGet directions
Mailing address
2691 N Lake Dr
Milwaukee, WI 53211-3838
Registry dates
- Enumerated
- 2023-01-10
- Last updated
- 2023-01-10
- Certified
- 2023-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.