OrganizationActive
Body Renovation Health Services, S.c.
NPI 1023210812 · Physical Therapy Clinic/Center · Grafton, WI
Provider details
- NPI number
- 1023210812
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Richard Wagner, President
Practice location
2020 Cheyenne Ct
Grafton, WI 53024
Phone: (262) 375-1075
Fax: (262) 375-4975
Mailing address
4810 Upper Forest Beach Rd
Port Washington, WI 53074-9715
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.