KIM KRYSTAL KOIKE

WAUKESHA, WI
NPI1699279604
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  6645-26)
Additional Taxonomies2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine
(Licence: MO  001148)
2083X0100X Preventive Medicine, Occupational Medicine
(Licence: MO  001148)
208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: MO  001148)
225X00000X Occupational Therapist
Enumeration Date2018-03-23
Last Update Date2023-06-07
Business Address
KIM KRYSTAL KOIKE OTR
3712 FIDDLERS CREEK DR.
WAUKESHA, WI 53188
Phone number: 314-640-4724
Mailing Address
KIM KRYSTAL KOIKE OTR
2014 S 102ND ST APT 309
WEST ALLIS, WI 53227-1350
Phone number: 314-640-4724