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

Individual provider Physical Therapy Assistant · NPI 1720459597

Nicole Bruecker is a Physical Therapy Assistant in Deforest, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2015
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Practice location Address checks out

6902 Parkside Cir
Deforest, WI 53532-2560
Phone: (608) 203-8880
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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 2419-19 (WI)

Record details

NPI number1720459597
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2015
Last updated in NPPESOctober 19, 2015
Mailing address6902 Parkside Cir, Deforest, WI 53532-2560

Other providers in Deforest