EVERWILD THERAPY & WELLNESS NPI 1720992076

NPI Information

  • NPI: 1720992076
  • Provider Name: EVERWILD THERAPY & WELLNESS
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • :
  • Address: 1896 COUNTY HWY NN
    WEST BEND, WI
    ZIP 53095
  • Phone: (414) 688-8888

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NPI Details

EVERWILD THERAPY & WELLNESS is a rehabilitation clinic center in West Bend, WI. EVERWILD THERAPY & WELLNESS NPI is 1720992076. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1896 COUNTY HWY NN
WEST BEND, WI
ZIP 53095-712
Phone: (414) 688-8888

The provider's authorized official is Nicole Balistreri .
The authorized official title is Co-founder/occupational Therapist and has the following contact phone number (262) 208-5087.

The enumeration date for this NPI number is 10/1/2026 and was last updated on 10/1/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyNo
2261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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