Individual
KELSEY MAE ABENDROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2000
(920) 531-2098
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13794
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548783228
—
WI
Enumeration date
07/25/2017
Last updated
01/24/2019
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