# ADVANCED ORTHOPAEDIC PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1750573150
- **Authorized official:** KEITH CALLEN FISHER PT, OCS, MTC (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (920) 242-1122

## Contact information

- **Practice address:** 1212 MEMORIAL DR, SUITE 1, MANITOWOC, WI 54220-2247
- **Practice address phone:** (920) 652-9554
- **Practice address fax:** (920) 652-9556
- **Mailing address:** 1212 MEMORIAL DR, SUITE 1, MANITOWOC, WI 54220-2247
- **Mailing address phone:** (920) 652-9554
- **Mailing address fax:** (920) 652-9556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2007
- **Last updated:** 10/25/2007