Individual
KIRK HAROLD MIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13900 W BURLEIGH RD, BROOKFIELD, WI 53005-3019
(262) 781-0550
Mailing address
W156N5781 PILGRIM RD, MENOMONEE FALLS, WI 53051-5926
(414) 530-4686
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3002
WI
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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