SearchWisconsin2255A2300X

Wyatt Henkenius, LAT, ATC

NPI 1326697400 · on the registry since 2019 · sole proprietor

Practice

Address
285 Forest Grove Dr
Pewaukee, WI 53072
Phone
(641) 745-9378
Organisation at this address
Soleo Health Inc.
Virtis Health, Llc
Mindful Balance, Llc
Healthy Smiles Dental Care, S.C.
Integrative Manual Physical Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 4349 Merle Hay Rd, Des Moines, IA

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-10

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