OrganizationActive
Body Renovation Physical Therapy Sc
NPI 1871664243 · Physical Therapist · Grafton, WI
Provider details
- NPI number
- 1871664243
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Richard Wagner, Partner(262) 375-1075
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2020 Cheyenne Ct
Grafton, WI 53024-9368
Phone: (262) 375-1075
Fax: (262) 375-4975
Approximate (ZIP-level) locationGet directions
Mailing address
2020 Cheyenne Ct
Grafton, WI 53024-9368
Other names (DBA / former)
- Former legal business name
- Body Renovation Health Services Sc
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2008-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.