Organization
RENEW PHYSICAL THERAPY AND WELLNESS, LLC
Active
Other names
Renew Physical Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A JOHNSON (OWNER)
(763) 228-2755
Entity
Organization
Contact information
Practice address
N2919 COUNTY ROAD QQ, WAUPACA, WI 54981
(763) 228-2755
Mailing address
128 5TH AVE N, JUNCTION CITY, WI 54443-9411
(763) 228-2755
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/17/2018
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