Individual provider · Type 1 NPI

Lara A. Bleck, PT

Physical Therapist · Appleton, WI

NPI number 1114002623 Active

Practice location

1640 N Casaloma Dr
Appleton, WI 54913-8245

Call (920) 903-8545 Map

Mailing address

2105 E Enterprise Ave
Appleton, WI 54913-7862

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X6128024 (WI)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1114002623

Lara A. Bleck, PT's National Provider Identifier is 1114002623, issued on Oct 25, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Appleton, WI. The record was last updated on Jul 11, 2025.