Individual
KRYSTA ANN BEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1111 W WISCONSIN ST, SPARTA, WI 54656
(608) 269-6731
Mailing address
1111 W. WISCONSIN ST, SPARTA, WI 54656
(715) 299-8555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12208-24
WI
225100000X
Physical Therapist
9140
MN
Other
Enumeration date
08/10/2012
Last updated
09/02/2020
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