Individual
KORA RIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-3131
(920) 320-5114
Mailing address
909 STEINERS CORNERS RD, TWO RIVERS, WI 54241-9754
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3075
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390806395
—
WI
Enumeration date
10/15/2020
Last updated
10/15/2024
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