SPINE AND SPORT PHYSICAL THERAPY OF WAUPACA LLC

WAUPACA, WI
NPI1770768046
Entity TypeOrganization
Authorized ContactMICHAEL RAY KOCH
Member
920-538-3670
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2008-01-07
Last Update Date2008-03-16
Business Address
SPINE AND SPORT PHYSICAL THERAPY OF WAUPACA LLC
1439 CHURCHILL ST STE 102
WAUPACA, WI 54981-2089
Phone number: 920-538-3670
Mailing Address
SPINE AND SPORT PHYSICAL THERAPY OF WAUPACA LLC
1439 CHURCHILL ST STE 102
WAUPACA, WI 54981-2089
Phone number: 920-538-3670