Provider Demographics
NPI:1619638061
Name:MEISSNER, EMILY (CTRS)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MEISSNER
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S BEDFORD ST STE 214
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-4018
Mailing Address - Country:US
Mailing Address - Phone:608-313-4052
Mailing Address - Fax:
Practice Address - Street 1:301 S BEDFORD ST STE 214
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-4018
Practice Address - Country:US
Practice Address - Phone:608-313-4052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist