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Organization
SPORT PLUS PHYSICAL THERAPY LLC
Active
Organization
SPORT PLUS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE EGGEBRECHT (OWNER)
(715) 339-6140
Entity
Organization
Contact information
Practice address
595 PETERSON DRIVE, PHILLIPS, WI 54555
(715) 339-3113
(715) 339-3117
Mailing address
N8237 STATE HWY 13, PHILLIPS, WI 54555
(715) 339-6140
(715) 339-6138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9889024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40384000
—
WI
Enumeration date
12/27/2006
Last updated
08/22/2020
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