Individual
KODY URBAN VAASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
400 WATER AVE, HILLSBORO, WI 54634-9054
(608) 489-8102
Mailing address
400 WATER AVE, HILLSBORO, WI 54634-9054
(608) 489-8102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14601
WI
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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