| NPI | 1508094400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M MACHOTKA Physical Therapist Owner 715-421-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 5855-024) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2010-11-29 |