Individual
KAYLA ELLIFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 266-6400
Mailing address
7106 TIMBERWOOD DR, MADISON, WI 53719-5234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12746-24
WI
2251X0800X
Orthopedic Physical Therapist
1274624
WI
Other
Enumeration date
12/11/2014
Last updated
04/27/2017
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