Female

Ms. Mikki Hegemann

Physical Therapy Assistant in Pleasant Prairie, WI(View on Map)

Full Name

Ms. Mikki Hegemann

NPI Number

1023242955

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/06/2009

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

1436-019

Contact
Information

Purpose

Mailing
Location

Address

10330 PRAIRIE RIDGE BLVD
10330 PRAIRIE RIDGE BLVD

City

Pleasant Prairie
Pleasant Prairie

State

WI
WI

Postal Code

53158-1947
53158-1947

Country

US
US

Telephone Number

(262) 612-2800
(262) 612-2800

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/06/2009

Provider Address

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