Healthcare Provider Details

I. General information

NPI: 1861667321
Provider Name (Legal Business Name): PEOPLEFIRST REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 BYRD AVE
NEENAH WI
54956-4015
US

IV. Provider business mailing address

125 BYRD AVE
NEENAH WI
54956-4015
US

V. Phone/Fax

Practice location:
  • Phone: 920-725-2714
  • Fax:
Mailing address:
  • Phone: 920-725-2714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CRISTY BERKHOLTZ
Title or Position: PTA
Credential:
Phone: 920-725-2714