Michelle Nenneman PTA

NPI 1669619151 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1669619151
Gender Female
Enumeration Date 01/21/2009
Last Updated 01/21/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
1905 W HART RD
BELOIT WI, 53511-2230, US
Phone (608) 365-7500
Fax
Business Location
141 HIGH ST
CLINTON WI, 53525, US
Phone (608) 365-7500
Fax
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160002250
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According to our database, Mrs. Michelle Nenneman PTA NPI is 1669619151, taxonomy code is 225200000X and license number is 160002250, license state is located at Illinois. Michelle Nenneman PTA physically located at 1905 W Hart Rd, Beloit WI, 53511-2230. NPI Number Michelle Nenneman PTA has the Individual type.

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1669619151 NPI number is provided on an as is basis without warranty of any kind. 1669619151 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Nenneman PTA are for informational purposes only.