# BACK-N-ACTION PHYSICAL THERAPY AND REHAB SPECIALISTS

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

## Provider details

- **NPI number:** 1922296045
- **Authorized official:** LARRY D. BRIAND (OWNER)
- **Authorized official phone:** (877) 552-2996

## Contact information

- **Practice address:** 500 BIRCH ST, PARK FALLS, WI 54552-1415
- **Practice address phone:** (715) 762-1515
- **Practice address fax:** (715) 762-1599
- **Mailing address:** PO BOX 3497, STURTEVANT, WI 53177-0300
- **Mailing address phone:** (877) 552-2996
- **Mailing address fax:** (866) 245-8064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3939-024 | WI | Yes |
| 2255A2300X | Athletic Trainer | 37-039 | WI | — |

## Other

- **Enumeration date:** 10/15/2007
- **Last updated:** 04/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 36191000 | — | WI |
| 01 | — | DG7876 | RAILROAD MEDICARE | — |