Organization
GENOA CITY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS A BATSON DPT (OWNER)
(847) 254-1708
Entity
Organization
Contact information
Practice address
313 FREEMAN STREET, GENOA CITY, WI 53128
(262) 279-8000
(262) 295-8799
Mailing address
5809 ROCKY BRANCH RD, SIGNAL MOUNTAIN, TN 37377-1338
(847) 254-1708
(423) 269-8746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9814-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100015187
—
WI
Enumeration date
03/09/2011
Last updated
02/13/2020
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