Individual
KRISTEN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11025 N PORT WASHINGTON RD, MEQUON, WI 53092-5032
(262) 292-0430
Mailing address
11025 N PORT WASHINGTON RD, MEQUON, WI 53092-5032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15546-24
WI
Other
Enumeration date
01/19/2022
Last updated
10/03/2025
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