Individual
KELLY WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
19475 SILVER CREEK RD, GALESVILLE, WI 54630-6400
(608) 582-2211
Mailing address
N1418 TIMBER VALLEY RD, LA CROSSE, WI 54601-2172
(608) 787-6386
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
817-19
WI
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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