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Individual

CHELSEA PORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
675 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 662-5060
Mailing address
675 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 662-5060

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1275024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407262439
WI
01
P01441918
RR MEDICARE
WI
Enumeration date
07/10/2014
Last updated
07/21/2022
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