Individual
MRS. KELLY MICHELLE NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1375 S CARRINGTON LN, DE PERE, WI 54115-4227
(920) 227-7210
Mailing address
1357 PONDEROSA AVE, GREEN BAY, WI 54313-5944
(920) 569-6349
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
528-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40478800
—
WI
Enumeration date
05/22/2007
Last updated
06/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us