Provider Demographics
NPI:1336651355
Name:SBR THERAPY AND WELLNESS, LLC
Entity Type:Organization
Organization Name:SBR THERAPY AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JEANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:406-223-4827
Mailing Address - Street 1:N79W5289 BYWATER LN
Mailing Address - Street 2:
Mailing Address - City:CEDARBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53012-1503
Mailing Address - Country:US
Mailing Address - Phone:406-223-4827
Mailing Address - Fax:
Practice Address - Street 1:N79W5289 BYWATER LN
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-1503
Practice Address - Country:US
Practice Address - Phone:406-223-4827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy