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Andrew Brian Davis (MSPT LAT)

Mr. Andrew Brian Davis (MSPT LAT) is a health care provider specializes in Physical Therapist.

profile-icon Basic Information

Practice Location 216 W Redwood St, Edgar, WI 54426, US
Practice Location Phone715-352-2780
Practice Location Fax715-352-2781
GenderMale
Specialty InPhysical Therapist
NPI ?1780627083
Entity TypeIndividual
Enumeration Date ? Jun 14, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Andrew Brian Davis

SpecialtySpecializationLicenseLicense State
Physical Therapist 9563024Wisconsin
Specialist/TechnologistAthletic Trainer 279039Wisconsin

legacy-id-icon Legacy Provider IDs of Andrew Brian Davis

Provider IdIssuer StateIssuer TypeIssuer
41810500WisconsinMedicaid
69530WisconsinOtherSECURITY HEALTH