Individual
MELISSA SUE MICHAELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 662-0817
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1398-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1398-019
PHYSICAL THERAPY ASST
WI
Enumeration date
02/04/2008
Last updated
02/04/2008
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