Individual
MRS. KIRSTEN JOY HENDRICKSON VAN ASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2558
Mailing address
922 DENISE CT, KAUKAUNA, WI 54130-1110
(608) 558-6459
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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