Individual
KELLY L WACHEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-6499
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-6190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10226
WI
Other
Enumeration date
03/20/2007
Last updated
01/28/2021
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