| NPI | 1821292343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN RICHARD WEILER Director Of Athletic Training Servi 715-346-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-08-10 |