Landsverk, Michelle L.

Landsverk, Michelle L. is an individual health care provider with primary practice located at 3232 N Ballard Rd Ste 204 , Appleton WI 54911-8804. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Landsverk, Michelle L. can be contacted via phone (920) 729-7105.

Contact Information

Primary practice address
3232 N Ballard Rd Ste 204 Appleton WI 54911-8804
Phone: (920) 729-7105
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5068-024 Wisconsin

Profile Details

NPI number 1881707735
LBN Legal business name Landsverk, Michelle L.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Feb 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881707735 NPPES
Wisconsin MEDICAID 40286800
Wisconsin Other 001886030
Wisconsin Other 000186035
Wisconsin Other 650019399

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