Individual
KELSEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3305 S 20TH ST, MILWAUKEE, WI 53215-4940
(414) 645-1808
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16216
WI
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231612
—
WI
Enumeration date
03/13/2023
Last updated
03/12/2024
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