| Organization Name: | PRESTIGE THERAPY AND WELLNESS LLC |
| NPI Number: | 1548549397 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRESTON BROWN (OWNER) |
| Mailing Address: | 1604 Legend Hill Ln Waukesha |
| State: | WI US |
| Postal Code: | 531898088 |
| Phone Number: | 2628804664 |
| Fax Number: | 2624470850 |
| NPI Enumeration Date: | 08/10/2011 |
| NPI Last Update Date: | 12/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 10950-24 |
| 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 |