Kellie Kidd-Thelen, PTA

NPI #1164958336 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1164958336
Entity Type: Individual
Name: Kellie Kidd-Thelen, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 10, 2017
Last Updated: May 10, 2017

Practice Location

Address: 3613 S 13TH ST
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-7253
Phone: (920) 458-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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