Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL J HENNIGAN, PTA
Active Sole ProprietorMR. MICHAEL J HENNIGAN, PTA is a Occupational Therapist healthcare provider located in GENOA CITY, Wisconsin. NPI 1316503915 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GENOA CITY, WI
Registration Details
- NPI Number
- 1316503915
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2019 (7.201823329729 yrs)
- Last Updated
- May 20, 2019
- License
-
2214 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 ELIZABETH LN UNIT CGENOA CITY, WI, 531282120Browse WI providers · Browse ZIP 53128
- Phone
- 2622792800
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.