IndividualActive
Amanda Basso
NPI 1407338924 · Physical Therapy Assistant · Milwaukee, WI
Provider details
- NPI number
- 1407338924
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2811-19 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7500 W North Ave
Milwaukee, WI 53213-1717
Phone: (414) 258-6170
Approximate (ZIP-level) locationGet directions
Mailing address
N2263 Wilmot Blvd
Lake Geneva, WI 53147-2332
Registry dates
- Enumerated
- 2018-08-30
- Last updated
- 2018-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.