Individual
TIANA KRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1035 N MAIN ST, RICE LAKE, WI 54868
(715) 236-6408
Mailing address
1035 N MAIN ST, RICE LAKE, WI 54868-1260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4693-154
WI
Other
Enumeration date
08/20/2018
Last updated
03/06/2019
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