Innovative Physical Therapy & Wellness, Llc

LBN: Innovative Physical Therapy & Wellness, Llc
Innovative Physical Therapy & Wellness, Llc is an health care organization with primary practice located at 715 Superior Rd Ste 103 , Green Bay WI 54311-7595. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Innovative Physical Therapy & Wellness, Llc can be contacted via phone (920) 770-4150, or through Larson, Trista via phone (920) 770-4150.

Contact Information

Primary practice address
715 Superior Rd Ste 103 Green Bay WI 54311-7595
Phone: (920) 770-4150
Fax: (920) 770-4149
Website:
Map and Directions
Authorized official contact:
Name: Larson, Trista DPT
Phone: (920) 770-4150

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1073232658
LBN Legal business name Innovative Physical Therapy & Wellness, Llc
DBA Doing business as
Authorized official Larson, Trista DPT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2022
Last updated Aug 25th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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