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NPI Code Detail

MEDICARE: KRISTIN MARIE MEISEL P.T.

MEDICARE:   KRISTIN MARIE MEISEL  P.T.
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
1225100000XPhysical Therapist5966-024WI

General Provider Information

NPI Number : 1962508168
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN MARIE MEISEL P.T.
Provider Business Mailing Address
First Line : 7315 N RIVER RD
Second Line :
City : RIVER HILLS
State : WI
Zip : 53217-3320
Country : US
Telephone Number : 414-540-0517
Fax Number :
Provider Business Practice Location Address
First Line : 7315 N RIVER RD
Second Line :
City : RIVER HILLS
State : WI
Zip : 53217-3320
Country : US
Telephone Number : 414-540-0517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 07/08/2007

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Directions to “ KRISTIN MARIE MEISEL P.T.” Practice Location

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