Individual
KATHLEEN KAY STRUCLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5299
Mailing address
605 CHADWICK DR, WATERTOWN, WI 53094-5908
(920) 206-1745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1749-24
WI
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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