# EXCEL PT, LLC

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

## Provider details

- **NPI number:** 1306079991
- **Authorized official:** MR. ROBERT RUNGE PT (OWNER)
- **Authorized official phone:** (920) 233-8739

## Contact information

- **Practice address:** 420 N KOELLER ST, OSHKOSH, WI 54902-4111
- **Practice address phone:** (920) 233-8739
- **Practice address fax:** (920) 233-8732
- **Mailing address:** 420 N KOELLER ST, OSHKOSH, WI 54902-4111
- **Mailing address phone:** (920) 233-8739
- **Mailing address fax:** (920) 233-8732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4415024 | WI | Yes |

## Other

- **Enumeration date:** 08/28/2009
- **Last updated:** 08/28/2009