Female

Kris Desotelle PTA

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

Full Name

Kris Desotelle PTA

NPI Number

1457442899

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/28/2006

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

1323

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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