Brightyn Zuelke, DPT
Individual provider Active NPI Physical Therapist · Suamico, WI
NPI 1346082005 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1346082005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16781-24 (WI)
- Practice address
- 1774 Riverside Dr
Suamico, WI 54173-8100 - Phone
- (920) 770-3303
- NPI assigned
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16781-24 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16781-24 | WI | Yes |
Addresses
Primary practice location
1774 Riverside Dr
Suamico, WI 54173-8100
Mailing address
1206 Sandstone PL
Green Bay, WI 54313-1356
Phone (920) 609-9059
Other providers in Suamico, WI
All providers in Suamico, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.