Organization
CRYSTAL TRAINING INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ZIMMERMAN (GENERAL MANAGER)
(715) 298-2104
Entity
Organization
Contact information
Practice address
880 S VIEW DR STE 15132, MOSINEE, WI 54455-8205
(715) 298-2104
Mailing address
880 S VIEW DR STE 15132, MOSINEE, WI 54455-8205
(715) 432-4921
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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