Provider Demographics
NPI:1356369284
Name:INSTEP PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:INSTEP PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LABISCH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, LAT
Authorized Official - Phone:262-241-8402
Mailing Address - Street 1:1516 W MEQUON RD
Mailing Address - Street 2:STE 201
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3264
Mailing Address - Country:US
Mailing Address - Phone:262-241-8402
Mailing Address - Fax:262-241-8403
Practice Address - Street 1:1516 W MEQUON RD
Practice Address - Street 2:STE 201
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3264
Practice Address - Country:US
Practice Address - Phone:262-241-8402
Practice Address - Fax:262-241-8403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy