Individual
MS. KELLI JO KRASSELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
209 WILDERNESS VIEW DR, MARSHFIELD, WI 54449-8357
(715) 389-6468
(715) 389-6090
Mailing address
209 WILDERNESS VIEW DR, MARSHFIELD, WI 54449-8357
(715) 389-6468
(715) 389-6090
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4612-027
WI
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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