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1063675080 NPI number — MELISSA JANE FRANKE PT

NPI Number: 1063675080
Health Care Provider/Practitioner: MELISSA JANE FRANKE PT

Information about “1063675080” NPI (MELISSA JANE FRANKE PT) exists in 1063675080 in HTML format HTML  |  1063675080 in plain Text format TXT  |  1063675080 in PDF (Portable Document Format) PDF  |  1063675080 in an XML format XML  formats.

NPI Number : 1063675080 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063675080",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FRANKE",
    "FirstName": "MELISSA",
    "MiddleName": "JANE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FRANKE",
    "OtherFirstName": "MELISSA",
    "OtherMiddleName": "JANE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7901 S 6TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK CREEK",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53154-2010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "414-346-8000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7901 S 6TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK CREEK",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53154-2010",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "414-346-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/09/2008",
    "LastUpdateDate": "10/28/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "6596",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "1303",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "749-39",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "14990-24",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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