Kidd-Thelen, Kellie

Kidd-Thelen, Kellie is an individual health care provider with primary practice located at 3613 S 13Th St , Sheboygan WI 53081-7253. 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. Kidd-Thelen, Kellie can be contacted via phone (920) 458-4040.

Contact Information

Primary practice address
3613 S 13Th St Sheboygan WI 53081-7253
Phone: (920) 458-4040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2593-19 Wisconsin

Profile Details

NPI number 1164958336
LBN Legal business name Kidd-Thelen, Kellie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2017
Last updated May 10th, 2017 - about 8 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.

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