Individual
KYLEE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1850 11TH ST, FENNIMORE, WI 53809-1612
(608) 822-6100
Mailing address
1030 CAMP ST, PLATTEVILLE, WI 53818-1506
(608) 642-1151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3306-19
WI
225200000X
Physical Therapy Assistant
—
MI
Other
Enumeration date
02/08/2023
Last updated
02/19/2025
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