IndividualActive
Adam Altenburg
NPI 1205437340 · Physical Therapy Assistant · Beaver Dam, WI
Provider details
- NPI number
- 1205437340
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3012-19 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
104 Fakes Ct
Beaver Dam, WI 53916-2699
Phone: (920) 356-9818
Approximate (ZIP-level) locationGet directions
Mailing address
104 Fakes Ct
Beaver Dam, WI 53916-2699
Registry dates
- Enumerated
- 2020-11-05
- Last updated
- 2020-11-05
- Certified
- 2020-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.