| NPI | 1558226399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI DRAKE Revenue Cycle Manager 715-607-1758 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-12-23 |
| Last Update Date | 2025-12-23 |