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MR. SANTANA ROHAN DEACON MPT NPI 1568632818


NPI Information

NPI: 1568632818
Provider Name: MR. SANTANA ROHAN DEACON, MPT
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
1626 W FOND DU LAC AVE
MILWAUKEE, WI
ZIP 53205
Phone: (414) 517-6585
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MR. Santana Rohan Deacon, MPT is a sports physical therapist in Milwaukee, WI. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. MR. Santana Rohan Deacon, MPT NPI is 1568632818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1626 W FOND DU LAC AVE
MILWAUKEE, WI
ZIP 53205-228
Phone: (414) 517-6585

The enumeration date for this NPI number is 3/3/2008 and was last updated on 7/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251S0007XPhysical TherapistSports10088-024WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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