Michael John Aehl, LMT, LAC., MSOM
Individual provider Active NPI Acupuncturist · Delafield, WI
NPI 1881859619 · NPPES record last updated Jul 21, 2008
Key facts
- NPI
- 1881859619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 308-055 (WI)
- Practice address
- 2725 Hillside Dr
Suite a
Delafield, WI 53018-2165 - Phone
- (262) 646-2123
- Fax
- (262) 646-5615
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 308-055 | WI | MD | Acupuncturist |
| 1017-046 | WI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettle Moraine Health Center, S.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1017-046 | WI | |
| Acupuncturist | 171100000X | 308-055 | WI | Yes |
Addresses
Primary practice location
2725 Hillside Dr
Suite a
Delafield, WI 53018-2165
Mailing address
2725 Hillside Dr
Suite a
Delafield, WI 53018-2165
Phone (262) 646-2123
Other providers in Delafield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 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.