Kelly Dorfner, PTA

NPI #1174984702 in Oak Creek, Wisconsin

Provider Information

NPI Number: 1174984702
Entity Type: Individual
Name: Kelly Dorfner, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 9, 2016
Last Updated: Mar 9, 2016

Practice Location

Address: 1125 E FITZSIMMONS RD
City: Oak Creek
State: Wisconsin
ZIP Code: 53154-5231
Phone: (414) 213-4263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary
Massage Therapist	225700000X

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