Organization
BODYGENIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN FULLINGTON (PHYSICAL THERAPIST, OWNER)
(262) 364-9221
Entity
Organization
Contact information
Practice address
950 WESTON HILLS DR, BROOKFIELD, WI 53045-3758
(262) 364-9221
Mailing address
PO BOX 2232, BROOKFIELD, WI 53008-2232
(262) 364-9221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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