# ANATOMY SHOP PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1386733517
- **Authorized official:** JOAN ZACHOW PT (OWNER)
- **Authorized official phone:** (262) 363-3268

## Contact information

- **Practice address:** 111 ATKINSON ST UNIT 2, MUKWONAGO, WI 53149-1439
- **Practice address phone:** (262) 363-3268
- **Practice address fax:** (262) 363-3269
- **Mailing address:** 111 ATKINSON ST UNIT 2, MUKWONAGO, WI 53149-1439
- **Mailing address phone:** (262) 363-3268
- **Mailing address fax:** (262) 363-3269

## Taxonomy

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

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 06/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 40425200 | — | WI |