OrganizationActive
Balistreri & Associates Physical Therapy
NPI 1689779902 · Physical Therapist · Lake Geneva, WI
Provider details
- NPI number
- 1689779902
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Suzanne Balistreri-Roden, Senior Account Administrator
Practice location
902 Wells Street
Lake Geneva, WI 53147
Phone: (262) 249-1915
Fax: (262) 249-1397
Mailing address
6926 39th Avenue
Kenosha, WI 53142
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2008-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.