Individual
JENNIFER L KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
206 W PROSPECT ST, THORP, WI 54771-9303
(156) 695-3217
Mailing address
615 E POLK AVE, EAU CLAIRE, WI 54701-3205
(602) 206-4739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8050
AZ
2255A2300X
Athletic Trainer
0730
AZ
Other
Enumeration date
08/29/2007
Last updated
03/02/2022
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