Individual
DR. KATIE JO CICCHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1125 N 13TH ST, SHEBOYGAN, WI 53081-3281
(920) 803-1617
Mailing address
1125 N 13TH ST, SHEBOYGAN, WI 53081-3281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15028-24
WI
Other
Enumeration date
08/31/2020
Last updated
03/30/2023
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