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Organization
EXTEND PHYSICAL THERAPY AND WELLNESS
Active
Organization
EXTEND PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY J NAEGELI PT, DPT (OWNER)
(262) 902-7881
Entity
Organization
Contact information
Practice address
1648 KUIPER LN, MOUNT PLEASANT, WI 53406-4310
(262) 902-7881
Mailing address
1648 KUIPER LN, MOUNT PLEASANT, WI 53406-4310
(262) 902-7881
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
NULL
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
08/17/2021
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