SearchWisconsin2255A2300X

Christopher Peroutka, ATC

NPI 1124523576 · on the registry since 2018 · sole proprietor

Practice

Address
1440 Monroe St
Madison, WI 53711
Phone
(608) 262-1866
Clinicians at this address
13

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin