Organization
HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE
Active
Other names
North Central Health Care Aquatic Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SCHULIST (CERTIFIED CREDENTIALING SPECIALIST)
(715) 848-4457
Entity
Organization
Contact information
Practice address
2400 MARSHALL ST STE C, WAUSAU, WI 54403-6184
(715) 848-4551
Mailing address
2400 MARSHALL ST STE A, WAUSAU, WI 54403-6184
(715) 848-4457
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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