Individual
KEVIN NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1414 N PROSPECT AVE, MILWAUKEE, WI 53202-3018
(414) 276-2627
Mailing address
3411 N 48TH ST, MILWAUKEE, WI 53216-3347
(617) 386-9740
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
19-4107
WI
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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