Individual
KELLY L. FEAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7878 N 76TH ST, MILWAUKEE, WI 53223-3914
(414) 354-6434
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12084
WI
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/02/2012
Last updated
10/10/2014
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