Melissa Malchow, PTA
Individual provider Active NPI Physical Therapy Assistant · Slinger, WI
NPI 1679948202 · NPPES record last updated Dec 8, 2015
Key facts
- NPI
- 1679948202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2177-19 (WI)
- Practice address
- 1900 American Eagle Dr
Slinger, WI 53086-9043 - Phone
- (262) 297-6300
- NPI assigned
- Dec 8, 2015
- 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 |
|---|---|---|---|
| 2177-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2177-19 | WI | Yes |
Addresses
Primary practice location
1900 American Eagle Dr
Slinger, WI 53086-9043
Mailing address
1900 American Eagle Dr
Slinger, WI 53086-9043
Other providers in Slinger, WI
- Jodi Lynn Klepp
- Jacob William Kornetzke
- Alexis Koutsios
- Lindsay M Lauters
- Erik Lee
- Francesca Malensek
- Lisa Claire McCoach
- Ashley McGuire
- Jennifer McKean
- Millenium Manor, LLC
All providers in Slinger, WI · Physical Therapy Assistant 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 8, 2015. 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.