Individual
CRAIG C KAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3900
Mailing address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11767-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11767-24
WI STATE LICENSE
WI
Enumeration date
07/14/2011
Last updated
07/14/2011
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