Individual
KRISTEN KOTECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10725 N EXECUTIVE CT, MEQUON, WI 53092-4602
(262) 329-4555
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12379
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100045747
—
WI
Enumeration date
09/04/2013
Last updated
07/01/2024
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