Lifespeed Physical Therapy and Fitness

NPI #1366535742 in Sussex, Wisconsin

Provider Information

NPI Number: 1366535742
Entity Type: Organization
Organization Name: Lifespeed Physical Therapy and Fitness
Primary Specialty: Physical Therapist
Enumeration Date: Sep 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: N64W24678 MAIN ST
Address 2: SUITE B
City: Sussex
State: Wisconsin
ZIP Code: 53089
Phone: (262) 820-2686

Authorized Official

Name: MR. LARRY D BRIAND
Title: CO-OWNER
Phone: (877) 552-2996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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