Individual
NICOLE KISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-3161
(309) 344-9675
Mailing address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-3161
(309) 344-9675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003910
IL
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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