Provider Demographics
NPI:1568964484
Name:TOTAL MOTION THERAPIES, LLC
Entity Type:Organization
Organization Name:TOTAL MOTION THERAPIES, LLC
Other - Org Name:WISTHERAPY SOLUTIONS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLEFSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:844-244-4888
Mailing Address - Street 1:15300 W HOWARD AVE UNIT 510771
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-4932
Mailing Address - Country:US
Mailing Address - Phone:844-244-4888
Mailing Address - Fax:
Practice Address - Street 1:3111 W RAWSON AVE STE 210
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132
Practice Address - Country:US
Practice Address - Phone:844-244-4888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty