Organization
STAR THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA E ERICKSON-MICHELS PT (PRACTICE ADMINISTRATOR)
(715) 204-4097
Entity
Organization
Contact information
Practice address
1895 20 1/2 AVE, RICE LAKE, WI 54868-2615
(715) 204-4097
(715) 273-7331
Mailing address
PO BOX 64, BLOOMER, WI 54724-0064
(715) 204-4097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/05/2024
Last updated
06/24/2025
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