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

Michael Anthony Tabor, MSPT

Individual provider Physical Therapist · NPI 1174596316

Michael Anthony Tabor, MSPT is a Physical Therapist in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

17280 W North Ave #104
Brookfield, WI 53045-4366
Phone: (262) 780-0707
Fax: (262) 780-0717
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6200024 (WI)

Record details

NPI number1174596316
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESJuly 13, 2026
Mailing address17280 W North Ave, 104, Brookfield, WI 53045-4366

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