| NPI | 1356834154 |
|---|---|
| Doing Business As | ORTHOPEDIC & SPORTS PT OF MADISON CO |
| Entity Type | Organization |
| Authorized Contact | BRADLEY S WHEELDON Managing Member/Owner 502-426-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |