MRS. Kelly Michelle Norman, P.T.A.

NPI #1851500227 in De Pere, Wisconsin

Provider Information

NPI Number: 1851500227
Entity Type: Individual
Name: MRS. Kelly Michelle Norman, P.T.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: May 22, 2007
Last Updated: Jun 17, 2019

Practice Location

Address: 1375 S CARRINGTON LN
City: De Pere
State: Wisconsin
ZIP Code: 54115-4227
Phone: (920) 227-7210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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