Individual
KELLY SIEGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
(262) 677-7400
(262) 677-7449
Mailing address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1646
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1646
LICENSE
WI
Enumeration date
01/05/2011
Last updated
10/08/2025
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