Individual
KAYLA GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
198 COUNTY ROAD DF, JUNEAU, WI 53039-9515
(920) 386-3548
Mailing address
106 S HOLMEN DR STE 2, HOLMEN, WI 54636-9468
(608) 526-9888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2483-19
WI
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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