KELLY BUCKETT

MILWAUKEE, WI
NPI1588060925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  12577)
Enumeration Date2014-11-12
Last Update Date2014-11-12
Business Address
-- KELLY BUCKETT DPT
1444 N HUMBOLDT AVE APT 3
MILWAUKEE, WI 53202-2843
Phone number: 414-906-0632
Mailing Address
-- KELLY BUCKETT DPT
1444 N HUMBOLDT AVE APT 3
MILWAUKEE, WI 53202-2843
Phone number: 414-906-0632
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