Melissa K Aho, MSPT
Individual provider Active NPI Pediatric Physical Therapist · Menasha, WI
NPI 1508909789 · NPPES record last updated Dec 5, 2008
Key facts
- NPI
- 1508909789
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 10018-024 (WI)
- Practice address
- 1800 Appleton Rd
Menasha, WI 54952-3727 - Phone
- (920) 968-6234
- Fax
- (920) 725-2572
- NPI assigned
- Feb 15, 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 |
|---|---|---|---|
| 10018-024 | WI | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 10018-024 | WI | Yes |
Addresses
Primary practice location
1800 Appleton Rd
Menasha, WI 54952-3727
Mailing address
1707 S Nicolet Rd Apt 2
Appleton, WI 54914-7542
Phone (920) 730-9197
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40384200 | Medicaid | WI | |
| 10018-024 | Other | WI | STATE LICENSE |
Other providers in Menasha, WI
- Accessible Bath Solutions LLC
- Accessible Bath Solutions LLC
- Karen Adair
- Adare Senior Living
- Adenike Ademibowale Adebiyi
- Alba Birth Center LLC
- Nathaniel Thomas Albrecht
- Rochelle Alpert
- Leah K Amboise
- Julie Andres
All providers in Menasha, WI · Pediatric 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 Dec 5, 2008. 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.