BLAKE KITTREDGE

MILWAUKEE, WI
NPI1518730084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  3030-19)
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
BLAKE KITTREDGE PTA
2115 E WOODSTOCK PL
MILWAUKEE, WI 53202-1342
Phone number: 414-758-1020
Mailing Address
BLAKE KITTREDGE PTA
11178 W APPLETON AVE
MILWAUKEE, WI 53225-1213
Phone number: 414-403-2623