Individual
KENDRA L. CICHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1439 CHURCHILL ST, STUITE 102, WAUPACA, WI 54981-2089
(715) 258-7778
(715) 258-7773
Mailing address
1439 CHURCHILL ST, STUITE 102, WAUPACA, WI 54981-2089
(715) 258-7778
(715) 258-7773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10658-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36116400
—
WI
Enumeration date
07/05/2006
Last updated
07/29/2008
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