Individual
DR. BECKY D KISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1001 SERVICE RD, KIEL, WI 53042-1297
(920) 894-2636
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11485-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100011594
—
WI
Enumeration date
08/27/2010
Last updated
12/08/2021
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