The Wellness Clinic INC.
Physical Therapist in Marinette, WI. Organization (NPI-2).
NPI number1124456330
StatusActive
Last updated in NPPESApr 11, 2014
Details
- NPI
- 1124456330
- Entity type
- Organization (NPI-2)
- Legal business name
- The Wellness Clinic INC.
- Organization subpart
- No
- Enumeration date
- Oct 24, 2013
- Last updated
- Apr 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
1281 Marinette AveMarinette, WI 54143-2018
Phone 715-735-5500 · Fax 715-735-5502
Mailing address
1281 Marinette AveMarinette, WI 54143-2018
Phone 715-735-5500 · Fax 715-735-5502
Authorized official
Jason Koenigs
President And Cfo
7157355500
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