Individual
CHELSEA JO KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, BCS-O
Contact information
Practice address
7401 104TH AVE STE 110, KENOSHA, WI 53142-7845
(262) 764-5595
Mailing address
7401 104TH AVE STE 110, KENOSHA, WI 53142-7845
(262) 764-5595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1637-39
WI
Other
Enumeration date
04/03/2023
Last updated
04/04/2023
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