Individual
MRS. KIMBERLY ANN BACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7001 S HOWELL AVE, 800, OAK CREEK, WI 53154-1407
(414) 856-0303
(414) 856-9991
Mailing address
7001 S HOWELL AVE, 800, OAK CREEK, WI 53154-1407
(414) 856-0303
(414) 856-9991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4735024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40385200
—
WI
Enumeration date
10/03/2006
Last updated
04/01/2014
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