Individual
MS. THERESA M KIVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2935 EAST AVE S, LA CROSSE, WI 54601-7243
(608) 787-5572
(608) 787-7775
Mailing address
2935 EAST AVE S, LA CROSSE, WI 54601-7243
(608) 787-5572
(608) 787-7775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1395-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42720200
—
WI
Enumeration date
05/03/2007
Last updated
01/08/2008
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