IndividualActive
Andrew Anderson, PTA
NPI 1083722664 · Physical Therapy Assistant · Sturgeon Bay, WI
Provider details
- NPI number
- 1083722664
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1300 Egg Harbor Rd Ste 152
Sturgeon Bay, WI 54235-1248
Phone: (920) 746-0410
Approximate (ZIP-level) locationGet directions
Mailing address
323 S 18th Ave
Sturgeon Bay, WI 54235-1401
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2023-01-09
- Certified
- 2023-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.