Individual
KIRSTEN LOUISE JANUARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12271 N MURPHY BLVD, HAYWARD, WI 54843-6005
(715) 699-4480
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4591
WI
Other
Enumeration date
07/03/2006
Last updated
06/12/2023
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