Individual
ALEXXIS CHYANN KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
Mailing address
690 KENNEDY ST, MAUSTON, WI 53948-1404
(608) 847-1422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4178-19
WI
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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