| NPI | 1194929190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT JAEGER Owner 715-570-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 5962-024) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |