Individual
MRS. TAYLOR KAYE WAGNER MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3821 DEWEY ST, MANITOWOC, WI 54220-5482
(920) 682-7585
Mailing address
3821 DEWEY ST, MANITOWOC, WI 54220-5482
(920) 682-7585
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
278519
WI
Other
Enumeration date
02/22/2019
Last updated
12/03/2025
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