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Organization
INTEGRITY SPORTS MEDICINE, LLC
Active
Organization
INTEGRITY SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA M BARON P.T., A.T.C, (BUSINESS OWNER)
(715) 369-1001
Entity
Organization
Contact information
Practice address
1903 LINCOLN ST, SUITE 2, RHINELANDER, WI 54501-3674
(715) 369-1001
(715) 369-1003
Mailing address
1903 LINCOLN ST, SUITE 2, RHINELANDER, WI 54501-3674
(715) 369-1001
(715) 369-1003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4433-024
WI
2255A2300X
Athletic Trainer
434-039
WI
2255A2300X
Athletic Trainer
62-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD7431
RAILROAD MEDICARE
WI
Enumeration date
12/14/2006
Last updated
11/15/2007
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