Individual
KRISTIN L NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4448 W LOOMIS RD, #205, GREENFIELD, WI 53220-4800
(414) 281-5151
Mailing address
W163S7765 SEAFARER PASS, MUSKEGO, WI 53150-8642
(414) 422-8626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6485
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40449600
—
WI
Enumeration date
02/21/2007
Last updated
07/08/2007
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