NPI 1134826084

See Change Incorporated

Organisation Mechanotherapist Menasha, WI

Practice location

Address: 1478 Kenwood Dr STE 104, Menasha, WI 54952-1161
Phone: (920) 538-6368
Mailing address: 1477 Kenwood Dr STE 200, Menasha, WI 54952-1160

Authorised official

Name: Shiloh Jordan Besaw
Title: Board President
Phone: (920) 538-6368

Registered specialties (2)

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X

Other Mechanotherapist providers in Wisconsin →

Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1134826084
Entity type: Organization
NPI issued: 10 Feb 2023
Record last updated: 10 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.