Individual
MRS. KELLY J MALMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1040 PILGRIM WAY, GREEN BAY, WI 54304-5028
(920) 405-3522
(920) 405-3523
Mailing address
360 MARK COURT, NEENAH, WI 54956
(920) 209-0915
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1321019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36120300
—
WI
Enumeration date
01/25/2007
Last updated
04/23/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us