Provider Demographics
NPI:1730258732
Name:MEISSNEST, HANS JOSEPH (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:HANS
Middle Name:JOSEPH
Last Name:MEISSNEST
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1942 MARJORIE LN
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-3848
Mailing Address - Country:US
Mailing Address - Phone:505-366-9559
Mailing Address - Fax:
Practice Address - Street 1:1496 W HOOSIER BLVD RM 220
Practice Address - Street 2:
Practice Address - City:PERU
Practice Address - State:IN
Practice Address - Zip Code:46970-3727
Practice Address - Country:US
Practice Address - Phone:765-472-5025
Practice Address - Fax:765-472-8999
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05005051A2081S0010X, 171000000X
COPTL.00129902251S0007X, 2251X0800X, 171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic