| Organization Name: | VESTA THERAPY & CONSULTING, LLC |
| NPI Number: | 1043433865 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAYNE ZIEHM (MANAGING MEMBER) |
| Mailing Address: | 6317 W Lloyd St Wauwatosa |
| State: | WI US |
| Postal Code: | 532132007 |
| Phone Number: | 4144603831 |
| Fax Number: | 8663054762 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 5717 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |