| Organization Name: | BACK-IN-ACTION PHYSICAL THERAPY CENTER OF KENOSHA, LTD. |
| NPI Number: | 1801882451 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY DENISE SOLECKI (BUSINESS MANAGER) |
| Mailing Address: | 6123 Green Bay Rd Ste 140 Kenosha |
| State: | WI US |
| Postal Code: | 531422927 |
| Phone Number: | 2625648334 |
| Fax Number: | 2626539264 |
| NPI Enumeration Date: | 09/20/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6483024 |
| 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 |