KELLY NIEMEYER

WESTON, WI
NPI1265100168
Former NameKELLY QUILLING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  3207-19)
Enumeration Date2021-09-03
Last Update Date2024-03-05
Business Address
KELLY NIEMEYER PTA
4810 BARBICAN AVE
WESTON, WI 54476-4186
Phone number: 715-393-0419
Mailing Address
KELLY NIEMEYER PTA
5157 N 28TH AVE APT 16
WAUSAU, WI 54401-8380
Phone number: 715-308-8126