Provider Demographics
NPI:1295570182
Name:CENTERED PHYSICAL THERAPY & WELLNESS
Entity type:Organization
Organization Name:CENTERED PHYSICAL THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDHOLM
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MHA
Authorized Official - Phone:763-234-5101
Mailing Address - Street 1:202 S CENTURY AVE STE 13
Mailing Address - Street 2:
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-1238
Mailing Address - Country:US
Mailing Address - Phone:763-234-5101
Mailing Address - Fax:
Practice Address - Street 1:202 S CENTURY AVE STE 13
Practice Address - Street 2:
Practice Address - City:WAUNAKEE
Practice Address - State:WI
Practice Address - Zip Code:53597-1238
Practice Address - Country:US
Practice Address - Phone:763-234-5101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy