Female

Kelli J. Anderson PTA

Physical Therapy Assistant in Brookfield, WI(View on Map)

Full Name

Kelli Jo Anderson PTA

NPI Number

1942260211

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/23/2006

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

765-019

Contact
Information

Purpose

Mailing
Location

Address

17280 W NORTH AVE
17280 W NORTH AVE

City

Brookfield
Brookfield

State

WI
WI

Postal Code

53045-4366
53045-4366

Country

US
US

Telephone Number

(262) 780-0707
(262) 780-0707

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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