LORI A. KISTING

JANESVILLE, WI
NPI1508368580
Former NameLORI A. PORTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  686-19)
Enumeration Date2018-03-06
Last Update Date2018-03-06
Business Address
LORI A. KISTING PTA
1000 MINERAL POINT AVE
JANESVILLE, WI 53548-2940
Phone number: 608-756-6050
Mailing Address
LORI A. KISTING PTA
1000 MINERAL POINT AVE
JANESVILLE, WI 53548-2940
Phone number: 608-756-6050