# FRESH START PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health In Balance Physical Therapy, Fitness, & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447888136
- **Authorized official:** CHARISE WORTHINGTON (BUSINESS MANAGER)
- **Authorized official phone:** (262) 236-0176

## Contact information

- **Practice address:** 10412 N BAEHR RD, MEQUON, WI 53092-4472
- **Practice address phone:** (262) 236-0176
- **Practice address fax:** (262) 236-0178
- **Mailing address:** 10412 N BAEHR RD, MEQUON, WI 53092-4472
- **Mailing address phone:** (262) 236-0176
- **Mailing address fax:** (262) 236-0178

## Taxonomy

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

## Other

- **Enumeration date:** 03/30/2020
- **Last updated:** 02/25/2026
