| NPI | 1568894350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE GATESY Physical Therapist 608-265-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 12374-24) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2018-11-02 |