MR. Michael J Hennigan, PTA
NPI #1316503915 in Genoa City, Wisconsin
Provider Information
- NPI Number
- 1316503915
- Entity Type
- Individual
- Name
- MR. Michael J Hennigan, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- May 20, 2019
- Last Updated
- May 20, 2019
Practice Location
- Address
- 112 ELIZABETH LN UNIT C
- City
- Genoa City
- State
- Wisconsin
- ZIP Code
- 53128-2120
- Phone
- (262) 279-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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