Individual
MICHELLE M KREITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4214 SHERIDAN RD, RACINE, WI 53403-4142
(262) 554-5006
Mailing address
W314S8909 WIGWAM DR, MUKWONAGO, WI 53149-8887
(262) 363-0823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4328-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40201600
—
WI
Enumeration date
02/26/2007
Last updated
07/08/2007
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