Kelly, Nicole

Kelly, Nicole is an individual health care provider with primary practice located at 35 N 28Th St , Superior WI 54880-5557. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kelly, Nicole can be contacted via phone (715) 392-3300.

Contact Information

Primary practice address
35 N 28Th St Superior WI 54880-5557
Phone: (715) 392-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2340-19 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A1718 Minnesota

Profile Details

NPI number 1336523562
LBN Legal business name Kelly, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2015
Last updated Jul 17th, 2015 - about 10 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.

Request for update

Popular Providers