Provider Demographics
NPI:1154756468
Name:VOLZ, BENJAMIN J (PT)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:J
Last Name:VOLZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8677 N PORT WASHINGTON RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:FOX POINT
Mailing Address - State:WI
Mailing Address - Zip Code:53217-2209
Mailing Address - Country:US
Mailing Address - Phone:414-351-8482
Mailing Address - Fax:414-351-8483
Practice Address - Street 1:2500 W LAYTON AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53221-5420
Practice Address - Country:US
Practice Address - Phone:414-389-3023
Practice Address - Fax:414-817-5745
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI12377225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist