Individual
MRS. KIMBERLY A SIEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10198 BROOKSIDE RD, AUBURNDALE, WI 54412-9636
(715) 305-5166
Mailing address
10198 BROOKSIDE RD, AUBURNDALE, WI 54412-9636
(715) 305-5166
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6866590
PATH INTERNATIONAL
—
Enumeration date
06/11/2020
Last updated
06/11/2020
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