Inga Johanna Meixell, P.T.

Individual provider Active NPI Physical Therapist · Ripon, WI

NPI 1720126097 · NPPES record last updated Oct 10, 2011

Key facts

NPI
1720126097
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
10397-024 (WI)
Practice address
933 Newbury St
Ripon, WI 54971-1730
Phone
(920) 748-9138
NPI assigned
Feb 1, 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

LicenseStateTypeSpecialty
7716MNMDPhysical Therapist
10397-024WIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7716 MN
Physical Therapist 225100000X 10397-024 WI Yes

Addresses

Primary practice location

933 Newbury St
Ripon, WI 54971-1730

Mailing address

1314 Webster St
Fairmont, MN 56031-4215
Phone (507) 399-1224

Other providers in Ripon, WI

All providers in Ripon, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.