Sports Physical Therapy & Rehab Specialist SC

Organization Active NPI Physical Therapist · Salem, WI

NPI 1831641844 · NPPES record last updated Apr 10, 2018

Key facts

NPI
1831641844
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
SPORTS PHYSICAL THERAPY & REHAB SPECIALIST SC
Practice address
25250 75TH St
Salem, WI 53168-8705
Phone
(262) 843-4200
NPI assigned
Oct 26, 2016
Organization subpart
No

Authorized official

Name
Geri Cook
Title
VP of Billing Operations
Phone
(630) 575-1940

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Locations

600 Oakmont Ln
#600C
Westmont, IL 60559

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

25250 75TH St
Salem, WI 53168-8705

Mailing address

600 Oakmont LN # 600C
Westmont, IL 60559-5548
Phone (630) 575-1980

Other providers in Salem, WI

All providers in Salem, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.