Provider Demographics
NPI:1336253137
Name:MONTEI, JANIS H (PT)
Entity Type:Individual
Prefix:MRS
First Name:JANIS
Middle Name:H
Last Name:MONTEI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:JANIS
Other - Middle Name:A
Other - Last Name:HARPFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5886 VENTURE PARK
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-1848
Mailing Address - Country:US
Mailing Address - Phone:269-375-4737
Mailing Address - Fax:269-375-2266
Practice Address - Street 1:5886 VENTURE PARK
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-1848
Practice Address - Country:US
Practice Address - Phone:269-375-4737
Practice Address - Fax:269-375-2266
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501002154225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5953142OtherAETNA
MI6430152OtherIBA
MIP22340002Medicare ID - Type Unspecified