Sport & Spine Clinic of Fort Atkinson Limited Partnership

NPI #1093207904 in Johnson Creek, Wisconsin

Provider Information

NPI Number: 1093207904
Entity Type: Organization
Organization Name: Sport & Spine Clinic of Fort Atkinson Limited Partnership
Primary Specialty: Physical Therapist
Enumeration Date: Jun 6, 2018
Last Updated: Jun 6, 2018

Practice Location

Address: 540 VILLAGE WALK LN STE F
City: Johnson Creek
State: Wisconsin
ZIP Code: 53038-9554
Phone: (920) 699-9356

Authorized Official

Name: RICHARD BINSTEIN
Title: VP/AUTHORIZED OFFICIAL
Phone: (713) 297-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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