# ELLEFSON THERAPY LTD

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

## Provider details

- **NPI number:** 1538256458
- **Authorized official:** MR. CARMELO D. TENUTA PT (PRESDENT/CEO)
- **Authorized official phone:** (262) 657-0222

## Contact information

- **Practice address:** 1425 SUMMIT AVE STE 201, WAUKESHA, WI 53188-3200
- **Practice address phone:** (262) 542-1112
- **Practice address fax:** (262) 542-7476
- **Mailing address:** 1425 SUMMIT AVE STE 201, WAUKESHA, WI 53188-3200
- **Mailing address phone:** (262) 542-1112
- **Mailing address fax:** (262) 542-7476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 02/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 40412900 | — | WI |