| NPI | 1407976319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY C BRITANYAK Staff 715-845-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2025-09-11 |