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Organization
EVERWILD THERAPY & WELLNESS
Active
Organization
EVERWILD THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BALISTRERI MS, OT (CO-FOUNDER/OCCUPATIONAL THERAPIST)
(262) 208-5087
Entity
Organization
Contact information
Practice address
1896 COUNTY HWY NN, WEST BEND, WI 53095-9712
(414) 688-8888
Mailing address
2601 ELKHART DR APT 319, WAUKESHA, WI 53189-8820
(262) 208-5087
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/01/2026
Last updated
10/01/2026
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