# HEALTH IN MOTION OF WISCONSIN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health In Motion
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497171821
- **Authorized official:** LISA L THORSEN (TREASURER)
- **Authorized official phone:** (715) 365-5252

## Contact information

- **Practice address:** 930 S 17TH AVE, WAUSAU, WI 54401
- **Practice address phone:** (715) 365-5252
- **Mailing address:** 586 SHEPARD ST, RHINELANDER, WI 54501-3552
- **Mailing address phone:** (715) 365-5252
- **Mailing address fax:** (715) 365-5258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3896024 | WI | Yes |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 04/05/2017
