Individual
KRISTIN M. MUCKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6408 COPPS AVE, MONONA, WI 53716-3702
(608) 417-6000
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5355-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137621720
—
WI
Enumeration date
02/07/2008
Last updated
12/29/2020
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