Provider Demographics
NPI:1285314005
Name:HIGHT JELEN, BRITTANY (LMT)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:HIGHT JELEN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 BRIGHTON DR
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-5975
Mailing Address - Country:US
Mailing Address - Phone:262-364-8233
Mailing Address - Fax:
Practice Address - Street 1:10533 W NATIONAL AVE STE 200
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-2041
Practice Address - Country:US
Practice Address - Phone:262-290-5337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12050-146225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist