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

Mr. John Liddell, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1972969988

Mr. John Liddell, PHYSICALTHERAPIST is a Physical Therapist in Mequon, Wisconsin. Licensed in Arizona, Minnesota and Wisconsin. Registered with an NPI since 2016.

Licensed in
AZ, MN, WI
In the registry since
2016
Specialties on file
3

Practice location Address checks out

1516 W Mequon Rd Ste 201
Mequon, WI 53092-3264
Phone: (262) 241-8402
Fax: (262) 241-8403
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13065 (WI)
Physical Therapist Taxonomy 225100000X · Licence 11987 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 10133 (MN)

Record details

NPI number1972969988
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedJanuary 6, 2016
Last updated in NPPESMay 8, 2016

Other providers in Mequon