Provider Demographics
NPI:1154445690
Name:THERAPY ADVANCES, INC
Entity Type:Organization
Organization Name:THERAPY ADVANCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:KNUTSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:608-825-6637
Mailing Address - Street 1:1010 N BIRD ST
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-1174
Mailing Address - Country:US
Mailing Address - Phone:608-825-6637
Mailing Address - Fax:608-825-6637
Practice Address - Street 1:1010 N BIRD ST
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-1174
Practice Address - Country:US
Practice Address - Phone:608-825-6637
Practice Address - Fax:608-825-6637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5858-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty