Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Spine and Sport Physical Therapy of Waupaca LLC

Organization Physical Therapist · NPI 1770768046

Spine and Sport Physical Therapy of Waupaca LLC provides Physical Therapist services 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 Not confirmed with CMS for 18 years — call before visiting
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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