Individual
KELSEY LYNN WILDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
865 MANKATO AVE, WINONA, MN 55987-4868
(507) 457-4366
Mailing address
865 MANKATO AVE, WINONA, MN 55987-4868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2612
MN
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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