Advanced Physical Therapy & Sports Medicine of Shawano LLC

NPI #1942201207 in Shawano, Wisconsin

Provider Information

NPI Number: 1942201207
Entity Type: Organization
Organization Name: Advanced Physical Therapy & Sports Medicine of Shawano LLC
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Aug 9, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 212 E GREEN BAY ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-2472
Phone: (715) 526-5221

Authorized Official

Name: NANCY J RUSCH
Title: OFFICE MANAGER
Phone: (920) 991-2561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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