Individual
MELISSA SUE KONECHNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1905 1/2 5TH ST, MONROE, WI 53566
(608) 329-6601
Mailing address
3875 N MAJOR DR, 608, BEAUMONT, TX 77713-8545
(651) 402-0902
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1857-19
WI
225200000X
Physical Therapy Assistant
Primary
2117739
TX
225200000X
Physical Therapy Assistant
A1489
MN
Other
Enumeration date
03/22/2012
Last updated
08/16/2018
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