MICHELLE HALVERSON

BLAIR, WI
NPI1588909816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1850-19)
Enumeration Date2012-11-27
Last Update Date2019-02-04
Business Address
MICHELLE HALVERSON
620 GRANDVIEW AVE
BLAIR, WI 54616-1101
Phone number: 608-989-2195
Mailing Address
MICHELLE HALVERSON
36188 CHRISTINE BLVD
WHITEHALL, WI 54773-8618
Phone number: