| NPI | 1619214848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY FISCHER Owner 608-780-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 3504-024) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 2406-012) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |