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

Brian M Watkins, PTA

Individual provider Physical Therapy Assistant · NPI 1710261045

Brian M Watkins, PTA is a Physical Therapy Assistant in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

6300 67th St
Kenosha, WI 53142-1437
Phone: (262) 484-4724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1002-19 (WI)

Record details

NPI number1710261045
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 5, 2011
Last updated in NPPESOctober 5, 2011
Mailing address6300 67th St, Kenosha, WI 53142-1437

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