Individual
KAYCIE MAY MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LAT
Contact information
Practice address
331 S WATER ST, SPARTA, WI 54656-1726
(608) 269-3168
Mailing address
519 MAIN ST, DE SOTO, WI 54624-8627
(608) 778-9616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14683-24
WI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
05/12/2015
Last updated
07/27/2019
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