Organization
CHIPPEWA VALLEY PHYSICAL THERAPY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S JOHNSON PT (PRESIDENT/OWNER)
(715) 726-1010
Entity
Organization
Contact information
Practice address
320 SUMMIT CT, CHIPPEWA FALLS, WI 54729-3599
(715) 726-1010
(715) 720-1010
Mailing address
PO BOX 16, CHIPPEWA FALLS, WI 54729-0016
(715) 726-1010
(715) 726-1010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40416600
—
WI
Enumeration date
07/28/2006
Last updated
07/28/2014
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