# ANTIGO TOTAL THERAPY & SPORTS REHAB CENTER INC

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

## Provider details

- **NPI number:** 1912084070
- **Authorized official:** MS. ROSANNE SCHERMETZLN OTR (PRESIDENT OWNER)
- **Authorized official phone:** (715) 623-2292

## Contact information

- **Practice address:** 720 ASKLEY STREET, ANTIGO, WI 54409
- **Practice address phone:** (715) 623-2292
- **Practice address fax:** (715) 627-2660
- **Mailing address:** 720 ADDEY STREET, ANTIGO, WI 54409
- **Mailing address phone:** (715) 623-2292
- **Mailing address fax:** (715) 627-2660

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41221800 | — | WI |