Provider Demographics
NPI:1235982273
Name:LIVING WITHOUT LIMITS LLC
Entity Type:Organization
Organization Name:LIVING WITHOUT LIMITS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:BAILY
Authorized Official - Last Name:BRUMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MS OTR/L
Authorized Official - Phone:715-803-0484
Mailing Address - Street 1:606 RUDER ST
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-6621
Mailing Address - Country:US
Mailing Address - Phone:715-803-0484
Mailing Address - Fax:
Practice Address - Street 1:606 RUDER ST
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-6621
Practice Address - Country:US
Practice Address - Phone:715-803-0484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty