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Individual

KORI WYNN LEIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2400 E CAPITOL DR, APPLETON, WI 54911-8728
(920) 831-5050
(920) 738-7648
Mailing address
W6846 APPLETREE CT, GREENVILLE, WI 54942-8006
(920) 428-3627

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
06/28/2022
Last updated
08/16/2022
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