Individual
MS. CRYSTAL A KAHIKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
425 SUMMIT ST, WILD ROSE, WI 54984-6804
(920) 622-3257
Mailing address
635 HALLEY AVE, RAPID CITY, SD 57701-1216
(605) 431-4127
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0243
SD
225200000X
Physical Therapy Assistant
Primary
1573-019
WI
Other
Enumeration date
08/15/2009
Last updated
08/15/2009
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