# GREENFIELD PT COMP LLC

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

## Provider details

- **NPI number:** 1255005963
- **Authorized official:** AMY GREENFIELD (MPT/OWNER)
- **Authorized official phone:** (715) 635-3979

## Contact information

- **Practice address:** N4439 FOREST CREEK DR, SHELL LAKE, WI 54871-7620
- **Practice address phone:** (715) 635-3979
- **Mailing address:** 112 ASH ST, SPOONER, WI 54801-1487
- **Mailing address phone:** (715) 635-3979
- **Mailing address fax:** (715) 635-3990

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2021
- **Last updated:** 08/06/2021