Organization
LIFESPEED PHYSICAL THERAPY AND FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY D BRIAND (CO-OWNER)
(877) 552-2996
Entity
Organization
Contact information
Practice address
N64W24678 MAIN ST, SUITE B, SUSSEX, WI 53089
(262) 820-2686
(866) 245-8064
Mailing address
8700 DURAND AVE, SUITE D, STURTEVANT, WI 53177
(877) 552-2996
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6020-024
WI
Other
Enumeration date
09/30/2006
Last updated
08/22/2020
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