Individual
MISS CHRISTI KAYE MCKUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
960 8TH ST, CLAYTON, WI 54004-9038
(715) 357-6340
Mailing address
960 8TH ST, CLAYTON, WI 54004-9038
(715) 357-6340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1141-19
WI
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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