| NPI | 1457771487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW L BARKER Owner/Provider 715-938-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10138-24) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2019-07-10 |