Individual
KIMBERLY ANN BUNTROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
945 N 12TH ST, SUITE 1100, MILWAUKEE, WI 53233-1305
(414) 219-7776
Mailing address
945 N 12TH ST, SUITE 1100, MILWAUKEE, WI 53233-1305
(414) 219-7776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11554-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077039
—
WI
Enumeration date
09/09/2016
Last updated
06/05/2024
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