Individual
KIRSTEN L. DETTWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 WEST AVENUE S, LA CROSSE, WI 54601-4783
(608) 392-9768
(608) 392-7124
Mailing address
700 WEST AVENUE S, LA CROSSE, WI 54601-4783
(608) 392-9768
(608) 392-7124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03705
IA
225100000X
Physical Therapist
Primary
10009
WI
Other
Enumeration date
09/25/2006
Last updated
09/14/2011
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