Individual
KAYLA A HOLMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 12TH AVE, CUMBERLAND, WI 54829-9452
(715) 563-0014
Mailing address
1790 12TH AVE, CUMBERLAND, WI 54829-9452
(715) 563-0014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4062-19
WI
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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