Organization
INTEGRATIVE MANUAL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M SMITH (PHYSICAL THERAPIST)
(414) 510-9988
Entity
Organization
Contact information
Practice address
285 FOREST GROVE DR STE 208, PEWAUKEE, WI 53072-3738
(262) 799-4090
Mailing address
285 FOREST GROVE DR STE 208, PEWAUKEE, WI 53072-3738
(262) 799-4090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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