Organization · Type 2 NPI

Presbyterian Homes of Wisconsin, Inc.

Rehabilitation Clinic/Center · Germantown, WI

NPI number 1194414441 Active

Practice location

N112W17500 Mequon Rd
Germantown, WI 53022-2405

Call (651) 631-6570 Map

Mailing address

2845 Hamline Ave N
Roseville, MN 55113-7127

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	None listed
Occupational Therapist	225X00000X	None listed
Speech-Language Pathologist	235Z00000X	None listed
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1194414441
Entity type: Organization (Type 2)
Issued: May 3, 2023
Last updated: Aug 4, 2023
Status: Active

Other names

<unavail>
Fairway Knoll · doing business as
Presbyterian Homes and Services Rehabilitation · doing business as

Authorized official

Ashley Leigh Rue
Director of Rehabilitation
(651) 631-6415

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194414441

Presbyterian Homes of Wisconsin, Inc.'s National Provider Identifier is 1194414441, issued on May 3, 2023. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Germantown, WI. The record was last updated on Aug 4, 2023.