Individual
KAYLAH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17280 W NORTH AVE, #104, BROOKFIELD, WI 53045-4366
(262) 780-0707
Mailing address
17280 W NORTH AVE, #104, BROOKFIELD, WI 53045-4366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11979
WI
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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