Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Spine and Sport Physical Therapy of Waupaca LLC

Organization Physical Therapist · NPI 1770768046

Spine and Sport Physical Therapy of Waupaca LLC is a Physical Therapist in Waupaca, Wisconsin. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1439 Churchill St Ste 102
Waupaca, WI 54981-2089
Phone: (920) 538-3670
Fax: (715) 256-9404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1770768046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Koch — Member · (920) 538-3670
NPI enumeratedJanuary 7, 2008
Last updated in NPPESMarch 16, 2008
Mailing address1439 Churchill St Ste 102, Waupaca, WI 54981-2089

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