Provider Demographics
NPI:1700470887
Name:MESKILL, VALERIE (PTA)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:MESKILL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W4266 COUNTY HWY X CLARK COUNTY REHAB & LIVING CENTER
Mailing Address - Street 2:
Mailing Address - City:OWEN
Mailing Address - State:WI
Mailing Address - Zip Code:54460
Mailing Address - Country:US
Mailing Address - Phone:715-229-2172
Mailing Address - Fax:
Practice Address - Street 1:W4266 COUNTY HWY X CLARK COUNTY REHAB & LIVING CENTER
Practice Address - Street 2:
Practice Address - City:OWEN
Practice Address - State:WI
Practice Address - Zip Code:54460
Practice Address - Country:US
Practice Address - Phone:715-229-2172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3117-19225200000X
WI3117-19225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant