IndividualActive
Chadd Black, LPTA
NPI 1326680109 · Physical Therapy Assistant · Verona, WI
Provider details
- NPI number
- 1326680109
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Male
- Sole proprietor
- No
- License
- 520-19 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1049 N Edge Trl
Verona, WI 53593-1942
Phone: (608) 845-2100
Approximate (ZIP-level) locationGet directions
Mailing address
4711 Eisenhower St
Oregon, WI 53575-2817
Registry dates
- Enumerated
- 2019-10-13
- Last updated
- 2019-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.