IndividualActive
Aaron Gustum, DPT
NPI 1710659909 · Physical Therapist · Lake Hallie, WI
Provider details
- NPI number
- 1710659909
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
Practice location
2751 Commercial Blvd Ste 5
Lake Hallie, WI 54729-5080
Phone: (800) 974-4378
Fax: (630) 515-1536
Mailing address
24014 W Renwick Rd Unit 206
Plainfield, IL 60544-8711
Registry dates
- Enumerated
- 2021-10-05
- Last updated
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.