Provider Demographics
NPI:1871941567
Name:AROUND THE JOINT PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:AROUND THE JOINT PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:414-333-1953
Mailing Address - Street 1:W312S525 WILDWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:DELAFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53018-3253
Mailing Address - Country:US
Mailing Address - Phone:414-333-1953
Mailing Address - Fax:
Practice Address - Street 1:W312S525 WILDWOOD TRL
Practice Address - Street 2:
Practice Address - City:DELAFIELD
Practice Address - State:WI
Practice Address - Zip Code:53018-3253
Practice Address - Country:US
Practice Address - Phone:414-333-1953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6111-024261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy