Individual
KENDRA KOPECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-5015
Mailing address
2448 S 102ND ST STE 340, MILWAUKEE, WI 53227-2147
(414) 329-2500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2181-19
WI
Other
Enumeration date
08/04/2014
Last updated
08/29/2016
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