Individual
KADIE MAE WESTPHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
N6251 LAKE DR, SHAWANO, WI 54166-3900
(920) 636-6164
Mailing address
N6251 LAKE DR, SHAWANO, WI 54166-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15691
WI
Other
Enumeration date
01/14/2022
Last updated
04/13/2026
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