Peterson, Melissa
Peterson, Melissa is an sole proprietor health care provider with primary practice located at 5022 S 69Th St , Greenfield WI 53220-4406. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Peterson, Melissa can be contacted via phone (414) 737-3795.Contact Information
Primary practice address
5022 S 69Th St
Greenfield WI 53220-4406
Phone: (414) 737-3795
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1205-019 | Wisconsin |
Profile Details
| NPI number | 1912170291 |
|---|---|
| LBN Legal business name | Peterson, Melissa |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Apr 8th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912170291 | NPPES |
| Wisconsin | MEDICAID | 40465800 |
Popular Providers
-
Schultz, Lori J
3939 S 92Nd Street , Greenfield WI 53228-1455 -
Phillips, Andrea
6520 W Layton Ave 101, Greenfield WI 53220-4500 -
Riopel, Joan
4500 W Loomis Rd , Greenfield WI 53220-4819 -
Morawski, Dan
5700 W Layton Ave , Greenfield WI 53220-4016 -
Imrie, Heather
5700 W Layton Ave Mount Carmel Rehab Dept, Greenfield WI 53220 -
Glad, Susan
5700 W Layton Ave Mount Carmel Rehab Dept, Greenfield WI 53220 -
Brooks, Helen M
6815 W Edgerton Ave , Greenfield WI 53320 -
Stroncek, Michele
4500 W Loomis Rd , Greenfield WI 53220-4819