KELLIE KIDD-THELEN

SHEBOYGAN, WI
NPI1164958336
Former NameKELLIE KIDD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2593-19)
Enumeration Date2017-05-10
Last Update Date2017-05-10
Business Address
-- KELLIE KIDD-THELEN PTA
3613 S 13TH ST
SHEBOYGAN, WI 53081-7253
Phone number: 920-458-4040
Mailing Address
-- KELLIE KIDD-THELEN PTA
432 N MILL STREET APT. 209
SAUKVILLE, WI 53080
Phone number: 262-388-4448
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