Organization
HEADWIND HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE RENICKER PT, DPT (CEO)
(937) 903-4837
Entity
Organization
Contact information
Practice address
1224 W TAYLOR ST APT 2, CHICAGO, IL 60607-4709
(937) 903-4837
Mailing address
1224 W TAYLOR ST APT 2, CHICAGO, IL 60607-4709
(937) 903-4837
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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