MEDICARE: MICHELLE WIESNER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	KY 002326	KY

General Provider Information

NPI Number	:	1235552324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE WIESNER PT

Provider Business Mailing Address
First Line	:	3013 ASHLEY OAKS DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515-1411
Country	:	US
Telephone Number	:	859-806-1061
Fax Number	:

Provider Business Practice Location Address
First Line	:	3013 ASHLEY OAKS DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515-1411
Country	:	US
Telephone Number	:	859-806-1061
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2014
Last Update Date	:	01/27/2014

Similar Medicare Providers

1932190444 — DR. WILLIAM DAVID HAGER MD
Practice Location Address:

1780 NICHOLASVILLE RD STE 101
LEXINGTON, KY
40503-1411

Practice Phone: 859-278-0363
Practice Fax: 859-278-4976

1063515765 — OHIO CVS STORES LLC
Practice Location Address:

1411 LEXINGTON AVE
MANSFIELD, OH
44907-2629

Practice Phone: 419-756-1321
Practice Fax:

1346632114 — TIFFANY MENDELL MS, RDN, CDN
Practice Location Address:

641 LEXINGTON AVE , SUITE 1411
NEW YORK, NY
10022-4503

Practice Phone: 212-634-6494
Practice Fax:

1023401569 — LARA METZ MS, RDN, CDN
Practice Location Address:

641 LEXINGTON AVE , SUITE 1411
NEW YORK, NY
10022-4503

Practice Phone: 212-634-6494
Practice Fax:

1639651458 — LOUISE PLESHA
Practice Location Address:

4 DONALD ST
LEXINGTON, MA
02420-1411

Practice Phone: 781-820-3106
Practice Fax:

1386249704 — COURTNEY NICOLE HOFSTETTER RPH
Practice Location Address:

1411 LEXINGTON AVE
MANSFIELD, OH
44907-2629

Practice Phone: 419-756-1321
Practice Fax: 419-756-6632

Directions to “ MICHELLE WIESNER PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.