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

Bryan Koudim, PTA

Individual provider Other Specialist/Technologist · NPI 1821540618

Bryan Koudim, PTA is an Other Specialist/Technologist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

9047 W Greenfield Ave
Milwaukee, WI 53214-2808
Phone: (414) 453-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X · Licence 254819 (WI)

Record details

NPI number1821540618
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 27, 2016
Last updated in NPPESOctober 27, 2016
Mailing addressS78w18465 Lions Park Dr, Muskego, WI 53150-8704

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