Peed, Cory W

Peed, Cory W is an individual health care provider with primary practice located at 1747 Shawano Ave Advanced Physical Therapy & Sports Medicine, Green Bay WI 54303-3261. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Peed, Cory W can be contacted via phone (920) 497-3538.

Contact Information

Primary practice address
1747 Shawano Ave Advanced Physical Therapy & Sports Medicine Green Bay WI 54303-3261
Phone: (920) 497-3538
Fax: (920) 965-1659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5214 Wisconsin

Profile Details

NPI number 1710989447
LBN Legal business name Peed, Cory W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jun 24th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710989447 NPPES
Wisconsin MEDICAID 40272200

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