Individual
KAYLA B ODYKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-7822
(920) 433-3651
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14507-24
WI
225100000X
Physical Therapist
5501017345
MI
Other
Enumeration date
09/01/2015
Last updated
01/11/2019
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