Individual
KIMBERLEE SUE MCCREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1504 MADISON AVE, FORT ATKINSON, WI 53538-3100
(920) 563-9357
(920) 568-6545
Mailing address
1504 MADISON AVE, FORT ATKINSON, WI 53538-3100
(920) 563-9357
(920) 568-6545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3293-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40113600
—
WI
Enumeration date
07/10/2006
Last updated
01/27/2014
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