Individual
KRISTA L GULLICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
895 MILLBROOK DR, NEENAH, WI 54956-1290
(920) 858-6642
Mailing address
895 MILLBROOK DR, NEENAH, WI 54956-1290
(920) 858-6642
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
08/24/2022
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