Individual
KRISTOPHER WAMPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-4039
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14813
WI
Other
Enumeration date
12/17/2020
Last updated
12/14/2023
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