Individual
MRS. KELLY ANN GERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2845 GREENBRIER RD STE A, GREEN BAY, WI 54311-6519
(920) 288-8100
(920) 288-8495
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070014256
IL
225100000X
Physical Therapist
Primary
10212024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40449700
—
WI
01
—
P00169801
RAILROAD MEDICARE NUMBER
WI
Enumeration date
07/07/2006
Last updated
09/22/2025
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