Organization Name: | HEAD 2 TOE PHYSICAL THERAPY, INC |
NPI Number: | 1366527228 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI L MOTT (PRESIDENT/OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 202 W Mohawk Dr Tomahawk |
State: | WI US |
Postal Code: | 544872215 |
Phone Number: | 7154537600 |
Fax Number: | 7154536403 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 6491-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |