Organization
WEIKER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WEIKER P.T. (PHYSICAL THERAPIST, OWNER)
(608) 850-6181
Entity
Organization
Contact information
Practice address
1001 ARBORETUM DR, SUITE 1A, WAUNAKEE, WI 53597-2670
(608) 850-6181
(608) 850-6121
Mailing address
1001 ARBORETUM DR, SUITE 1A, WAUNAKEE, WI 53597-2670
(608) 850-6181
(608) 850-6121
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3961-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40424600
—
WI
01
—
611150600
DEEOIC
—
01
—
P00368177
MEDICARE RAILROAD CARRIER
WI
Enumeration date
08/13/2007
Last updated
10/21/2009
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