Individual
LINDSEY KETELHUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
S11W29667 SUMMIT AVE, WAUKESHA, WI 53188-9476
(262) 305-1624
Mailing address
1711 EASY ST, WAUKESHA, WI 53188-2201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16358-24
WI
Other
Enumeration date
05/16/2023
Last updated
11/09/2024
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