# FULL CIRCLE THERAPY AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104619550
- **Authorized official:** DENISE COPPENS (BILLING MANAGER)
- **Authorized official phone:** (920) 321-8366

## Contact information

- **Practice address:** 1325 S BROADWAY, DE PERE, WI 54115-8299
- **Practice address phone:** (920) 321-8366
- **Mailing address:** 1325 S BROADWAY, DE PERE, WI 54115-8299
- **Mailing address phone:** (920) 321-8366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 05/28/2025
- **Last updated:** 06/04/2025