MS. Kimberly Ellefson, PTA

NPI #1942477898 in Pleasant Prairie, Wisconsin

Provider Information

NPI Number: 1942477898
Entity Type: Individual
Name: MS. Kimberly Ellefson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 9, 2008
Last Updated: Mar 5, 2015

Practice Location

Address: 10330 PRAIRIE RIDGE BLVD
City: Pleasant Prairie
State: Wisconsin
ZIP Code: 53158-1947
Phone: (262) 612-2856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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