Individual
MRS. MICHELLE NENNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1905 W HART RD, BELOIT, WI 53511-2230
(608) 365-7500
Mailing address
141 HIGH ST, CLINTON, WI 53525
(608) 365-7500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160002250
IL
225200000X
Physical Therapy Assistant
Primary
861019
WI
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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