Provider Demographics
NPI:1114169943
Name:PTWORKS LLC
Entity Type:Organization
Organization Name:PTWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBSTER-DAHL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:608-847-5100
Mailing Address - Street 1:PO BOX 319
Mailing Address - Street 2:
Mailing Address - City:MAUSTON
Mailing Address - State:WI
Mailing Address - Zip Code:53948-0319
Mailing Address - Country:US
Mailing Address - Phone:608-847-5100
Mailing Address - Fax:608-847-5110
Practice Address - Street 1:690 KENNEDY STREET
Practice Address - Street 2:
Practice Address - City:MAUSTON
Practice Address - State:WI
Practice Address - Zip Code:53948
Practice Address - Country:US
Practice Address - Phone:608-847-5100
Practice Address - Fax:608-847-5110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy