Mitchell Kannal
Mitchell Kannal is a Physical Therapist in Private Practice in Kewaskum, Wisconsin. Qualified in 2016, 10 years ago. Practices with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc, a 1,255-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 10
- Licensed in
- WI
- In the registry since
- 2022
Practice location Address checks out
1701 Fond Du Lac AveKewaskum, WI 53040-9129
Phone: (262) 626-4616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 13543-24 (WI) |
|---|
Record details
| NPI number | 1255082350 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 11, 2022 |
| Last updated in NPPES | October 9, 2025 |
| Certification date | October 9, 2025 |
| Mailing address | 1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc — 1255 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Kewaskum
-
Back in Action Rehabilitation SC
1057 Fond Du Lac Ave, Kewaskum, WI 53040-9495 · (262) 626-6700
-
Alysha Claflin, DPT
1057 Fond Du Lac Ave, Kewaskum, WI 53040-9495 · (920) 922-7776