Sport and Spine Clinic of Fort Atkinson Limited Partnership
NPI #1265647978 in Johnson Creek, Wisconsin
Provider Information
- NPI Number
- 1265647978
- Entity Type
- Organization
- Organization Name
- Sport and Spine Clinic of Fort Atkinson Limited Partnership
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 480 VILLAGE WALK LN
- Address 2
- UNIT 1
- City
- Johnson Creek
- State
- Wisconsin
- ZIP Code
- 53038-9462
- Phone
- (920) 699-4201
Authorized Official
- Name
- JANNA KING, JD
- Title
- VP, AUTHORIZED OFFICIAL
- Phone
- (713) 297-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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