Taylor Husom
Taylor Husom is a Physical Therapist in Port Washington, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2020
Practice location Address checks out
1300 W Lincoln AvePort Washington, WI 53074-2098
Phone: (479) 201-6098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 15007 (WI) |
|---|
Record details
| NPI number | 1629693676 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2020 |
| Last updated in NPPES | June 15, 2020 |
| Certification date | June 15, 2020 |
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