# LIVING WELL PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1740925635
- **Authorized official:** DR. STEPHANIE LYNN PATEK DPT (OWNER/PROVIDER)
- **Authorized official phone:** (414) 312-3180

## Contact information

- **Practice address:** 159 E SILVER SPRING DR, WHITEFISH BAY, WI 53217-4703
- **Practice address phone:** (262) 770-5025
- **Mailing address:** 4634 N SHEFFIELD AVE, WHITEFISH BAY, WI 53211-1106
- **Mailing address phone:** (414) 312-3180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/04/2022
- **Last updated:** 07/05/2024