Individual
DR. JOHN DANIEL KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6400
Mailing address
12 SAYNER CT APT 76, MADISON, WI 53717-1875
(937) 542-9388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14325-24
WI
225100000X
Physical Therapist
PT017481
OH
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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