Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adam Robert Ketterhagen, PTDPT

Individual provider Physical Therapist · NPI 1114273372

Adam Robert Ketterhagen, PTDPT is a Physical Therapist in Mount Pleasant, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona and Wisconsin.

Licensed in
AZ, WI
In the registry since
2012
Specialties on file
2

Practice location Address checks out

5340 Washington Ave
Mount Pleasant, WI 53406
Phone: (262) 638-1272
Fax: (262) 638-1287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3921 E Baseline Rd, Gilbert, AZ 85234-2727 — (480) 503-2373

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12113-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence 9895 (AZ)

Record details

NPI number1114273372
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPT
Sole proprietorYes
NPI enumeratedJuly 25, 2012
Last updated in NPPESJanuary 4, 2019

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