Individual
KELCIE WITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6444
Mailing address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005326
IA
225100000X
Physical Therapist
070-020518
IL
225100000X
Physical Therapist
Primary
12614-24
WI
Other
Enumeration date
02/11/2014
Last updated
12/10/2015
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