Individual
MAKENZIE KATHRYN KUNKEL MELLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3340 S 113TH ST APT 8, WEST ALLIS, WI 53227-3964
(815) 990-8940
Mailing address
3340 S 113TH ST APT 8, WEST ALLIS, WI 53227-3964
(815) 990-8940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17162-24
WI
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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