Individual
LISA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2727 W CLEVELAND AVE, MILWAUKEE, WI 53215-2956
(414) 316-9533
Mailing address
12635 WRAYBURN RD, ELM GROVE, WI 53122-1454
(262) 853-2897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13617-24
WI
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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