Individual
MRS. KATHRYN ANNE KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 E TYRANENA PARK RD, LAKE MILLS, WI 53551-9678
(920) 648-8170
(920) 648-8225
Mailing address
200 E TYRANENA PARK RD, LAKE MILLS, WI 53551-9678
(920) 648-8170
(920) 648-8225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10234-024
WI
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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