Ultimate Performance Therapy, LLC

NPI #1730451162 in Verona, Wisconsin

Provider Information

NPI Number: 1730451162
Entity Type: Organization
Organization Name: Ultimate Performance Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 1, 2012
Last Updated: Feb 1, 2012

Practice Location

Address: 403 VENTURE CT, SUITE 2
City: Verona
State: Wisconsin
ZIP Code: 53593
Phone: (608) 333-8504

Authorized Official

Name: DR. BRADLEY JAMES RUPNOW, PT, DPT, LAT
Title: DOCTOR OF PHYSICAL THERAPY - MEMBER
Phone: (608) 333-8504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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