Summit Wellness, INC.
Clinic/Center, Physical Therapy in Milwaukee, WI. Organization (NPI-2).
NPI number1861979445
StatusActive
Last updated in NPPESJul 25, 2018
Details
- NPI
- 1861979445
- Entity type
- Organization (NPI-2)
- Legal business name
- Summit Wellness, INC.
- Organization subpart
- No
- Enumeration date
- Jul 25, 2018
- Last updated
- Jul 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 10271-24 | WI | Yes |
Practice location
301 E Reservoir Ave Ste 1Milwaukee, WI 53212-3743
Phone 414-350-6064
Mailing address
5154 N Lydell AveWhitefish Bay, WI 53217-5532
Authorized official
Anthony Langtimm
President
4143506064
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