Organization
ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLA MEYER (CREDENTIALING SPECIALIST)
(920) 393-2819
Entity
Organization
Contact information
Practice address
1931 MARINETTE AVE, MARINETTE, WI 54143-3801
(715) 735-5500
(715) 735-5502
Mailing address
2105 E ENTERPRISE AVE STE 113, APPLETON, WI 54913-7862
(920) 560-1083
(920) 560-1098
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
03/26/2026
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