Individual
NICOLE L KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
270 N ST., FOUNTAIN CITY, WI 54629
(608) 687-7721
Mailing address
6820 WOODLAND BLVD, MINNESOTA CITY, MN 55959-1204
(507) 474-3202
(507) 452-5735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
69-019
WI
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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