Organization Name: | TRANS4M PHYSICAL THERAPY & FITNESS, LLC |
NPI Number: | 1508094400 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA M MACHOTKA (PHYSICAL THERAPIST OWNER) |
Mailing Address: | 440 Chestnut St Ste. 200 Wisconsin Rapids |
State: | WI US |
Postal Code: | 544944873 |
Phone Number: | 7154214800 |
Fax Number: | 7154214804 |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 11/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5855-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |