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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FORM & FITNESS

Active Organization

FORM & FITNESS is a Physical Therapy Assistant organization located in MEQUON, Wisconsin. NPI 1063612067 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MEQUON, WI

Registration Details

NPI Number
1063612067
Provider Type
Organization
NPI Issued
Jul 19, 2007 (19.103046613611 yrs)
Last Updated
Jul 19, 2007

Practice Information

Address
11053 N PORT WASHINGTON RD
MEQUON, WI, 530925032
Browse WI providers · Browse ZIP 53092
Phone
2622413449
Fax
2622415229
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Organizations in MEQUON, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.