Organization Name: | XCEL PHYSICAL THERAPY, INC. |
NPI Number: | 1053508978 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TODD G GOLDBECK (OWNER/DIRECTOR) |
Mailing Address: | 621 W Racine St Jefferson |
State: | WI US |
Postal Code: | 535491048 |
Phone Number: | 6082796960 |
Fax Number: | 8664010083 |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 6214-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |