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Contact Information

KEVIN J BRUSSE, PT
2629 N 7TH ST
SHEBOYGAN, WI53083-4932
 Phone: 920-451-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KEVIN J BRUSSE · (Male)

NPI # 1992929582
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 04/13/2007
Last updated 12/08/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 9888
  • WI License # 9888-024
  • WI Medicaid 40471600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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