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Impact Physical Therapy & Performance LLC — NPI 1821649088, Verona, WI | NPI Central

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NPI 1821649088

OrganizationActive

Impact Physical Therapy & Performance LLC

NPI 1821649088 · Physical Therapy Clinic/Center · Verona, WI

Provider details

NPI number: 1821649088
Entity type: Organization
Primary specialty: Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Matthew Koester, Founding Owner(608) 293-4508

Specialties & taxonomies

Physical Therapy Clinic/CenterPrimary261QP2000X
Ambulatory Health Care Facilities

Practice location

1155 Clarity Dr

Verona, WI 53593-9318

Phone: (608) 293-4508

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

W4850 Pembridge Trl

Monroe, WI 53566-8745

Other names (DBA / former)

Former legal business name: Lifelong Range of Motion LLC

Registry dates

Enumerated: 2019-09-27
Last updated: 2019-09-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.