Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Koudim, PTA

Individual provider Other Specialist/Technologist · NPI 1821540618

Bryan Koudim, PTA is an Other Specialist/Technologist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

9047 W Greenfield Ave
Milwaukee, WI 53214-2808
Phone: (414) 453-9290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X · Licence 254819 (WI)

Record details

NPI number1821540618
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 27, 2016
Last updated in NPPESOctober 27, 2016

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