Individual
MRS. MICHELLE LEE JANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5505 HIGHWAY Z, WEST BEND, WI 53095-9224
(262) 306-2691
(262) 306-2689
Mailing address
3211 MEDITERRANEAN AVE, WEST BEND, WI 53090-8426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3940-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20125800
—
WI
Enumeration date
01/10/2007
Last updated
03/17/2018
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