Organization
WILDERNESS PERFORMANCE THERAPY & STRENGTH TRAINING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WILHOIT (MANAGER)
(312) 884-1190
Entity
Organization
Contact information
Practice address
1823 NESS WAY, MONTGOMERY, IL 60538-4073
(309) 287-2509
Mailing address
1823 NESS WAY, MONTGOMERY, IL 60538-4073
(309) 287-2509
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
04/28/2020
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