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Contact Information

TARGETED TISSUE THERAPY LLC
1477 S KNOWLES AVE
STE 110A
NEW RICHMOND, WI54017
 Phone: 715-441-7632
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for TARGETED TISSUE THERAPY LLC

NPI Number 1376320010
LBN Legal business name TARGETED TISSUE THERAPY LLC
Authorized official SADIE KEESY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2023
Last updated 09/14/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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