Individual
KERRY AMMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8901 N 76TH ST, MILWAUKEE, WI 53223-1901
(414) 354-0772
(414) 365-0773
Mailing address
2205 N SUMMIT AVE, MILWAUKEE, WI 53202-1213
(414) 839-7861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4252-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40368100
—
WI
Enumeration date
03/13/2007
Last updated
08/18/2015
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