Individual
JOSIAH CALEB KUKULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4810 BARBICAN AVE, WESTON, WI 54476-4186
(715) 393-0400
Mailing address
151420 LUPINE RD, WAUSAU, WI 54401-6635
(715) 203-2699
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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