Individual
KRISTEN KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2999 N MAYFAIR RD STE 300, WAUWATOSA, WI 53222-4306
(414) 479-3737
(414) 479-3733
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10216-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078477
—
WI
Enumeration date
12/13/2016
Last updated
06/21/2024
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