Sports Physical Therapists of Racine LLC
NPI #1215478763 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1215478763
- Entity Type
- Organization
- Organization Name
- Sports Physical Therapists of Racine LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 16, 2017
- Last Updated
- Jun 5, 2020
Practice Location
- Address
- 7200 WASHINGTON AVE
- Address 2
- STE D103
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-6516
- Phone
- (262) 583-0790
Authorized Official
- Name
- CARMELO D TENUTA, PT
- Title
- PRESIDENT / CEO
- Phone
- (262) 925-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Physical Therapist |
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