| NPI | 1821649088 |
|---|---|
| Former Legal Business Name | LIFELONG RANGE OF MOTION LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW KOESTER Founding Owner 608-293-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |