# HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Central Health Care Aquatic Therapy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487521357
- **Authorized official:** AMANDA SCHULIST (CERTIFIED CREDENTIALING SPECIALIST)
- **Authorized official phone:** (715) 848-4457

## Contact information

- **Practice address:** 2400 MARSHALL ST STE C, WAUSAU, WI 54403-6184
- **Practice address phone:** (715) 848-4551
- **Mailing address:** 2400 MARSHALL ST STE A, WAUSAU, WI 54403-6184
- **Mailing address phone:** (715) 848-4457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2025
- **Last updated:** 10/23/2025