Kellie Kidd-Thelen, PTA

Physical Therapy Assistant · Sheboygan, WI

Individual Active NPI

NPI number 1164958336

Practice location

3613 S 13TH St
Sheboygan, WI 53081-7253
Phone
(920) 458-4040

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NPI record

NPI
1164958336
Entity type
Individual (Type 1)
Enumeration date
May 10, 2017
Last updated
May 10, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2593-19 WI

Mailing address

432 N Mill Street
Apt. 209
Saukville, WI 53080
Phone
(262) 388-4448

About Kellie Kidd-Thelen

Kellie Kidd-Thelen, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 3613 S 13TH St, Sheboygan, WI 53081-7253. The NPI number 1164958336 was assigned on May 10, 2017 and the record was last updated on May 10, 2017.

Kellie Kidd-Thelen lists a license in the registry: #2593-19 (WI) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kellie Kidd-Thelen, PTA?

The NPI number is 1164958336.

What is the phone number of Kellie Kidd-Thelen?

The phone number listed for the practice location is (920) 458-4040.

Where is Kellie Kidd-Thelen located?

3613 S 13TH St, Sheboygan, WI 53081-7253.

What is the taxonomy code for Kellie Kidd-Thelen?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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