# EVOLVE PELVIC WELLNESS LLC

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

## Provider details

- **NPI number:** 1518601897
- **Authorized official:** CARLY FELTZ DPT (OWNER)
- **Authorized official phone:** (715) 349-3891

## Contact information

- **Practice address:** 909 W BRIDGE ST, WAUSAU, WI 54401-2937
- **Practice address phone:** (715) 348-3891
- **Mailing address:** 909 W BRIDGE ST, WAUSAU, WI 54401-2937
- **Mailing address phone:** (715) 348-3891

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2022
- **Last updated:** 04/23/2022