IndividualActive
Adella Deacon, PT
NPI 1649371303 · Physical Therapist · Milwaukee, WI
Provider details
- NPI number
- 1649371303
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 070014653 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1626 W Fond Du Lac Ave # Wi
Milwaukee, WI 53205-1228
Phone: (414) 737-0374
Approximate (ZIP-level) locationGet directions
Mailing address
1626 W Fond Du Lac Ave # Wi
Milwaukee, WI 53205-1228
Additional practice locations (1)
- 5616 W 63rd StChicago, IL 60638-5511Phone: (773) 526-5239Fax: (773) 526-5240
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2020-05-08
- Certified
- 2020-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.