Individual
MELISSA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-2147
Mailing address
2836 N 86TH ST, MILWAUKEE, WI 53222-4724
(708) 337-3329
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2258-39
WI
Other
Enumeration date
05/06/2015
Last updated
07/22/2019
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