Melanie S Keleher, PT
Individual provider Active NPI Physical Therapist · Prairie Du Chien, WI
NPI 1285784702 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1285784702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6510 (WI)
- Practice address
- 37868 US Highway 18
Prairie Du Chien, WI 53821-8416 - Phone
- (608) 357-2000
- Fax
- (608) 357-2254
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6510 | WI | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6510 | WI | Yes |
Addresses
Primary practice location
37868 US Highway 18
Prairie Du Chien, WI 53821-8416
Mailing address
37868 US Highway 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40334600 | Medicaid | WI |
Other providers in Prairie Du Chien, WI
- James C Jordan
- Kurt J Jorgensen
- Lynette R Kansier
- Adam Keenan
- Crystal Jean Keeney
- Nancy A Key
- Robert T Key
- Gretchen Carla Kilbey
- Jennifer King
- Kevin Andrew Klean
All providers in Prairie Du Chien, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.