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

Richard Polk, PT

Individual provider Physical Therapist · NPI 1225233323

Richard Polk, PT is a Physical Therapist in Random Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

N546 Schroeter Dr
Random Lake, WI 53075-1272
Phone: (920) 207-3550
Fax: (920) 994-4606
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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 4734-024 (WI)

Record details

NPI number1225233323
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 19, 2007
Last updated in NPPESJuly 8, 2007

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