Organization
BACK-N-ACTION PHYSICAL THERAPY AND REHAB SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D. BRIAND (OWNER)
(877) 552-2996
Entity
Organization
Contact information
Practice address
500 BIRCH ST, PARK FALLS, WI 54552-1415
(715) 762-1515
(715) 762-1599
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(877) 552-2996
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3939-024
WI
2255A2300X
Athletic Trainer
37-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36191000
—
WI
01
—
DG7876
RAILROAD MEDICARE
—
Enumeration date
10/15/2007
Last updated
04/27/2010
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