Organization
KINDRED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY LOUISE NIQUETTE PTA (PHYSICAL THERAPIST ASSISTANT)
(920) 682-0314
Entity
Organization
Contact information
Practice address
1445 N 7TH ST, MANITOWOC, WI 54220-2011
(920) 682-0314
(920) 683-0210
Mailing address
1445 N 7TH ST, MANITOWOC, WI 54220-2011
(920) 682-0314
(920) 683-0210
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40103700
—
WI
Enumeration date
04/30/2008
Last updated
04/30/2008
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