Individual
JESSICA KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 PRAIRIE HEIGHTS DR STE 101, VERONA, WI 53593-2238
(608) 556-6120
Mailing address
1324 FISH HATCHERY RD, MADISON, WI 53715-1912
(404) 754-9564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5281-154
WI
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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