Natures Edge Therapy Center

LBN: Natures Edge Therapy Center
Natures Edge Therapy Center is an health care organization with primary practice located at 2523 14 3/4 Ave , Rice Lake WI 54868-8736. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Natures Edge Therapy Center can be contacted via phone (715) 859-6670, or through Lundeen, Becky L. via phone (715) 859-6670.

Contact Information

Primary practice address
2523 14 3/4 Ave Rice Lake WI 54868-8736
Phone: (715) 859-6670
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lundeen, Becky L. MATCC/SLP
Phone: (715) 859-6670

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1083696702
LBN Legal business name Natures Edge Therapy Center
DBA Doing business as
Authorized official Lundeen, Becky L. MATCC/SLP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2005
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083696702 NPPES
Wisconsin Other 54976 SECURITY HEALTH PLAN
Wisconsin MEDICAID 41222500 SECURITY HEALTH PLAN

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