Individual
KELLY MAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3506 WASHINGTON RD, KENOSHA, WI 53144-1654
(262) 653-3814
Mailing address
3311 23RD AVE, KENOSHA, WI 53140-2120
(262) 496-2102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2550-19
WI
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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