KRISTA ANDERSON

CLEAR LAKE, WI
NPI1265721781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1712-19)
Enumeration Date2011-04-05
Last Update Date2011-05-11
Business Address
-- KRISTA ANDERSON PTA
417 3RD AVE
CLEAR LAKE, WI 54005
Phone number: 715-263-4103
Mailing Address
-- KRISTA ANDERSON PTA
PO BOX 3497
STURTEVANT, WI 53177-0300
Phone number: 888-201-1040