Provider Demographics
NPI:1093900342
Name:ANLAUF, JEFFREY K (PT)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:K
Last Name:ANLAUF
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E6189 819TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:WI
Mailing Address - Zip Code:54730-4411
Mailing Address - Country:US
Mailing Address - Phone:715-233-1938
Mailing Address - Fax:
Practice Address - Street 1:2120 HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-6142
Practice Address - Country:US
Practice Address - Phone:715-832-1681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9726-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist