Organization
NORTHWOODS SPORT & HAND, INC.
Active
Other names
Northwoods Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TJ NERENG (OWNER/PT)
(715) 839-9266
Entity
Organization
Contact information
Practice address
757 LAKELAND DR, SUITE A, CHIPPEWA FALLS, WI 54729-5027
(715) 723-5060
(715) 723-5149
Mailing address
757 LAKELAND DR, SUITE A, CHIPPEWA FALLS, WI 54729-5027
(715) 723-5060
(715) 723-5149
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
WI
332B00000X
Durable Medical Equipment & Medical Supplies
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40428500
—
WI
01
—
6479370002
PTAN
WI
Enumeration date
01/26/2007
Last updated
02/19/2024
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