| Organization Name: | NORTHWOODS SPORT & HAND, INC. |
| NPI Number: | 1174679864 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA M. WOLLUM (OFFICE MANAGER) |
| Mailing Address: | 757 Lakeland Dr Chippewa Falls |
| State: | WI US |
| Postal Code: | 547291669 |
| Phone Number: | 7157235060 |
| Fax Number: | 7157235149 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 05/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |