Individual
MICHELE L. NEILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2999 N MAYFAIR RD, WAUWATOSA, WI 53222-4306
(414) 479-3737
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5202-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40398500
—
WI
Enumeration date
06/29/2006
Last updated
10/10/2024
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