Individual
KATHRYN GEROULIS HENSCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1271 N 6TH ST, MILWAUKEE, WI 53212-3360
(414) 978-9100
Mailing address
10473 S GEORGE DR, OAK CREEK, WI 53154-6541
(262) 880-6650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6316-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/09/2017
Last updated
03/17/2018
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