Individual provider · Type 1 NPI

Conner Funnell

Pediatric Physical Therapist · Portage, WI

NPI number 1649109240 Active

Practice location

626 E Slifer St
Portage, WI 53901-1224

Mailing address

4214 School Rd
Madison, WI 53704-1611

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XNone listed

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

14 other providers at this address

About NPI 1649109240

Conner Funnell's National Provider Identifier is 1649109240, issued on May 18, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Portage, WI. The record was last updated on May 18, 2026.