Evolution Exercise and Spine Center of Madison LLC

NPI #1902848401 in Madison, Wisconsin

Provider Information

NPI Number: 1902848401
Entity Type: Organization
Organization Name: Evolution Exercise and Spine Center of Madison LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 11, 2006
Last Updated: Apr 8, 2009

Practice Location

Address: 376 JUNCTION RD
City: Madison
State: Wisconsin
ZIP Code: 53717-2612
Phone: (608) 662-0016

Authorized Official

Name: MARY HALL, M.P.T.
Title: EMPLOYEE
Phone: (608) 662-0016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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