Organization Name: | SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP |
NPI Number: | 1982780813 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD BINSTEIN (VP,AUTHORIZED OFFICIAL) |
Mailing Address: | 222 S Wisconsin Drive Suite 3 Jefferson |
State: | WI US |
Postal Code: | 53549 |
Phone Number: | 9206994201 |
Fax Number: | 9206994204 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 11/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |