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Contact Information

EXTEND PHYSICAL THERAPY AND WELLNESS
1648 KUIPER LN
MOUNT PLEASANT, WI53406-4310
 Phone: 262-902-7881
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for EXTEND PHYSICAL THERAPY AND WELLNESS

NPI # 1063082626
LBN Legal business name EXTEND PHYSICAL THERAPY AND WELLNESS
Authorized official HALEY NAEGELI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2021
Last updated 08/17/2021 - About 5 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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