Mykala Konrardy

NPI #1174295588 in West Bend, Wisconsin

Provider Information

NPI Number: 1174295588
Entity Type: Individual
Name: Mykala Konrardy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 4, 2021
Last Updated: Oct 4, 2021

Practice Location

Address: 2130 CONTINENTAL DR
City: West Bend
State: Wisconsin
ZIP Code: 53095-7904
Phone: (877) 407-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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