Individual
KIMBERLY METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
430 WILCOX ST, FORT ATKINSON, WI 53538-1968
(920) 542-1190
Mailing address
360 BROOKSTONE DR, LAKE MILLS, WI 53551-1967
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2654-19
WI
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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