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Mariah Janisch, PTA
NPI 1144945775 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1601 Wheeler Rd
Madison, WI 53704 - Phone
- (608) 496-8595
- Organisation at this address
- Emeritus Corporation
Madison Wi Bg Opco Llc
Madison Al Operations Llc
Wickshire Madison Opco Llc
Legacy Gardens Assisted LivingInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin