Organization
OPTIMUM THERAPIES OF RICE LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI DRAKE (REVENUE CYCLE MANAGER)
(715) 855-0408
Entity
Organization
Contact information
Practice address
2600 S WISCONSIN AVE STE 1, RICE LAKE, WI 54868-7527
(715) 236-3610
(715) 236-3615
Mailing address
517 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-6479
(715) 855-0408
(715) 855-0409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
07/01/2025
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