KATHLEEN NISIUS

WOODSTOCK, IL
NPI1902883069
Former NameKATHLEEN LAGRASSA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-011947)
Enumeration Date2005-12-29
Last Update Date2021-08-10
Business Address
KATHLEEN NISIUS PT
11613 CATALPA LN
WOODSTOCK, IL 60098-6923
Phone number: 877-609-0123
Mailing Address
KATHLEEN NISIUS PT
7825 3RD ST N STE 105
OAKDALE, MN 55128-5444
Phone number: 877-609-0123