# M & M PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235222746
- **Authorized official:** MRS. MELISSA D MARTIN PT (OWNER)
- **Authorized official phone:** (414) 571-9146

## Contact information

- **Practice address:** 1333 COLLEGE AVE, SUITE B, SOUTH MILWAUKEE, WI 53172
- **Practice address phone:** (414) 571-9146
- **Practice address fax:** (414) 571-9147
- **Mailing address:** 1333 COLLEGE AVE, SUITE B, SOUTH MILWAUKEE, WI 53172
- **Mailing address phone:** (414) 571-9146
- **Mailing address fax:** (414) 571-9147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5437 | WI | Yes |
| 225100000X | Physical Therapist | 5672 | WI | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 03/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 40355700 | — | WI |