CHRISTOPHER PEROUTKA

MADISON, WI
NPI1124523576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  2536-39)
Enumeration Date2018-03-28
Last Update Date2022-08-24
Business Address
CHRISTOPHER PEROUTKA ATC
1440 MONROE ST
MADISON, WI 53711-2051
Phone number: 608-262-1866
Mailing Address
CHRISTOPHER PEROUTKA ATC
5316 HERON TRL
MIDDLETON, WI 53562-5215
Phone number: 608-445-3413