IndividualActive
Amanda Mork, PT
NPI 1245331586 · Physical Therapist · Pewaukee, WI
Provider details
- NPI number
- 1245331586
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 000683042 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2835 N Grandview Blvd
Suite 100
Pewaukee, WI 53072-5531
Phone: (262) 574-5185
Fax: (262) 574-5193
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N Mayfair Rd
Wauwatosa, WI 53226-1415
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2018-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.