| NPI | 1922574417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SALINAS CEO 414-736-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2025-06-18 |