Kusters, Nicole Lee

Kusters, Nicole Lee is an sole proprietor health care provider with primary practice located at 310 W Depot St , Silver Lake WI 53170-1529. 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. Kusters, Nicole Lee can be contacted via phone (262) 889-4925.

Contact Information

Primary practice address
310 W Depot St Silver Lake WI 53170-1529
Phone: (262) 889-4925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1089-19 Wisconsin

Profile Details

NPI number 1174798110
LBN Legal business name Kusters, Nicole Lee
Credentials LPTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174798110 NPPES
Wisconsin MEDICAID 40396000

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