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Organization

NATURES EDGE THERAPY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BECKY L. LUNDEEN MATCC/SLP (DIRECTOR)
(715) 859-6670
Entity
Organization

Contact information

Practice address
2523 14 3/4 AVE, RICE LAKE, WI 54868-8736
(715) 859-6670
Mailing address
2523 14 3/4 AVE, RICE LAKE, WI 54868-8736
(715) 859-6670

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41222500
WI
01
54976
SECURITY HEALTH PLAN
WI
Enumeration date
11/17/2005
Last updated
09/11/2025
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