Individual
KIMBERLEY BOETTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7805 BIRCH ST, WESTON, WI 54476-5219
(715) 298-3833
Mailing address
7805 BIRCH ST, WESTON, WI 54476-5219
(715) 298-3833
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2934
WI
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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