# INTEGRITY SPORTS MEDICINE, LLC

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

## Provider details

- **NPI number:** 1548322019
- **Authorized official:** MRS. THERESA M BARON P.T., A.T.C, (BUSINESS OWNER)
- **Authorized official phone:** (715) 369-1001

## Contact information

- **Practice address:** 1903 LINCOLN ST, SUITE 2, RHINELANDER, WI 54501-3674
- **Practice address phone:** (715) 369-1001
- **Practice address fax:** (715) 369-1003
- **Mailing address:** 1903 LINCOLN ST, SUITE 2, RHINELANDER, WI 54501-3674
- **Mailing address phone:** (715) 369-1001
- **Mailing address fax:** (715) 369-1003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4433-024 | WI | Yes |
| 2255A2300X | Athletic Trainer | 434-039 | WI | — |
| 2255A2300X | Athletic Trainer | 62-039 | WI | — |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 11/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DD7431 | RAILROAD MEDICARE | WI |