Organization
UNITED THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY P. RILEY PT (PRESIDENT)
(414) 339-7871
Entity
Organization
Contact information
Practice address
3209 S LAKE DR, MILWAUKEE, WI 53235-3712
(414) 339-7871
Mailing address
9729 W VIGO TER, WEST ALLIS, WI 53227-3647
(414) 339-7871
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4806-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41814000
—
WI
Enumeration date
07/07/2005
Last updated
08/22/2020
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