KELLIE MARIE WAGNER

BEAVER DAM, WI
NPI1144539461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  11507-24)
Enumeration Date2010-10-04
Last Update Date2010-10-04
Business Address
Dr. KELLIE MARIE WAGNER PT, DPT, CSCS
1223 MADISON ST
BEAVER DAM, WI 53916-2629
Phone number: 920-885-4750
Mailing Address
Dr. KELLIE MARIE WAGNER PT, DPT, CSCS
5002 AUTUMN LEAF LN APT 210
MADISON, WI 53704-8654
Phone number: 414-416-2291
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