Individual
KELSEY DEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 WOODCREST DR, PORTAGE, WI 53901-1262
(608) 742-5531
Mailing address
626 E SLIFER ST, PORTAGE, WI 53901-1224
(608) 745-5400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14428958
WI
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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