NPI 1386103059

Aegis Group Practice LLC

Organisation Physical Therapist Menomonee Falls, WI

Practice location

Address: N48w14250 W Hampton Ave, Menomonee Falls, WI 53051
Phone: (800) 444-6845
Mailing address: 1000 Fianna Way, Fort Smith, AR 72919-9008

Authorised official

Name: Michael McOlvin
Title: Vp-Finance
Phone: (479) 201-2000

Registered specialties (3)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1386103059
Entity type: Organization
NPI issued: 13 Mar 2019
Record last updated: 13 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.