Organization · Type 2 NPI

Sport & Spine Clinic LP

Rehabilitation Clinic/Center · Edgar, WI

NPI number 1942238167 Active

Practice location

325 S.third Avenue, Suite B
Edgar, WI 54426

Call (715) 352-2780 Map

Fax (715) 352-2781

Mailing address

327 N 17th Ave Ste 7
Wausau, WI 54401-4283

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1942238167
Entity type: Organization (Type 2)
Issued: Jun 28, 2006
Last updated: Jan 17, 2022
Status: Active

Other names

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Sport & Spine Clinic of Edgar · doing business as
Sport & Spine Clinic of Edgar · doing business as

Authorized official

Richard Binstein
EVP
(713) 297-7000

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 1942238167

Sport & Spine Clinic LP's National Provider Identifier is 1942238167, issued on Jun 28, 2006. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Edgar, WI. The record was last updated on Jan 17, 2022.