Search › Wisconsin › 225100000X
Richard Polk, PT
NPI 1225233323 · on the registry since 2007
Practice
- Address
- N546 Schroeter Dr
Random Lake, WI 53075 - Phone
- (920) 207-3550
- Fax
- (920) 994-4606
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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