Abendroth, Kelsey Mae
Abendroth, Kelsey Mae is an individual health care provider with primary practice located at 1405 Mill St , New London WI 54961-2155. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Abendroth, Kelsey Mae can be contacted via phone (920) 531-2000.Contact Information
Primary practice address
1405 Mill St
New London WI 54961-2155
Phone: (920) 531-2000
Fax: (920) 531-2098
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 13794 | Wisconsin |
Profile Details
NPI number | 1548783228 |
---|---|
LBN Legal business name | Abendroth, Kelsey Mae |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2017 |
Last updated | Jan 24th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548783228 | NPPES |
Wisconsin | MEDICAID | 1548783228 |
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