MRS. MELANIE KAY HERTZOG OTR NPI 1578772760

NPI Information

NPI: 1578772760
Provider Name: MRS. MELANIE KAY HERTZOG, OTR
Classification: Occupational Therapist - 225XN1300X
Entity Type: Individual

Specialization: Neurorehabilitation

Address:
2025 E NEWPORT AVE
MILWAUKEE, WI
ZIP 53211
Phone: (414) 961-4164
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MRS. Melanie Kay Hertzog, OTR is a neurorehabilitation occupational therapist in Milwaukee, WI. MRS. Melanie Kay Hertzog, OTR NPI is 1578772760. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2025 E NEWPORT AVE
MILWAUKEE, WI
ZIP 53211-906
Phone: (414) 961-4164

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XN1300X	Occupational Therapist	Neurorehabilitation	4475-26	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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