Advanced Physical Therapy & Sports Medicine of Shawano LLC

NPI #1598775694 in Shawano, Wisconsin

Provider Information

NPI Number: 1598775694
Entity Type: Organization
Organization Name: Advanced Physical Therapy & Sports Medicine of Shawano LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 212 E GREEN BAY ST
Address 2: SUITE A
City: Shawano
State: Wisconsin
ZIP Code: 54166
Phone: (715) 526-5221

Authorized Official

Name: MR. ROBERT P WORTH, PT
Title: PRESIDENT
Phone: (920) 991-2561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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