Individual
MICHELLE MARIE KEHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
(262) 306-2150
Mailing address
1717 TUMBLEWEED CIR, WEST BEND, WI 53095-8548
(262) 306-1419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
574 019
WI
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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