Provider Demographics
NPI:1194425744
Name:QUEST REHABILITATION AND PERFORMANCE, LLC
Entity type:Organization
Organization Name:QUEST REHABILITATION AND PERFORMANCE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:815-540-4712
Mailing Address - Street 1:2325 PARKLAWN DR STE Q
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-2938
Mailing Address - Country:US
Mailing Address - Phone:262-228-2456
Mailing Address - Fax:
Practice Address - Street 1:2325 PARKLAWN DR STE Q
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-2938
Practice Address - Country:US
Practice Address - Phone:262-228-2456
Practice Address - Fax:262-320-7027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy