Provider Demographics
NPI:1790927762
Name:ROEPKE PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:ROEPKE PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:ELITE HAND & UPPER EXTREMITY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP,AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:P
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:640 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54451-2017
Mailing Address - Country:US
Mailing Address - Phone:715-748-5203
Mailing Address - Fax:715-748-0842
Practice Address - Street 1:N9691 STATE HIGHWAY 13
Practice Address - Street 2:
Practice Address - City:PHILLIPS
Practice Address - State:WI
Practice Address - Zip Code:54555-7771
Practice Address - Country:US
Practice Address - Phone:715-339-4603
Practice Address - Fax:715-339-4604
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROEPKE PHYSICAL THERAPY LIMITED PARTNERSHIP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies