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Individual

JANNA LEE KISSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1140 INDIANAPOLIS RD, GREENCASTLE, IN 46135-1458
(765) 848-1421
(765) 301-4351
Mailing address
712 TODDSON DR, GREENCASTLE, IN 46135-9202
(765) 653-6718
(765) 653-8930

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001368A
IN
225100000X
Physical Therapist
070.015963
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05001368A
IN LICENSING BOARD
IN
Enumeration date
09/27/2007
Last updated
05/09/2022
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