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

Brett Vanvlack

Individual provider Physical Therapy Assistant · NPI 1558041418

Brett Vanvlack is a Physical Therapy Assistant in Bloomer, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

2217 Duncan Rd
Bloomer, WI 54724-1214
Phone: (715) 568-9770
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4108 (WI)

Record details

NPI number1558041418
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023
Mailing address4835 Southridge Ct Apt 5, Eau Claire, WI 54701-9377

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