Kelcie Wittman
Physical Therapist in Madison, WI. Individual provider (NPI-1).
NPI number1699199604
StatusActive
Last updated in NPPESDec 10, 2015
Details
- NPI
- 1699199604
- Entity type
- Individual (NPI-1)
- Name
- Kelcie Wittman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2014
- Last updated
- Dec 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 12614-24 | WI | Yes |
| 225100000X | Physical Therapist | 005326 | IA | |
| 225100000X | Physical Therapist | 070-020518 | IL |
Practice location
4602 Eastpark BlvdMadison, WI 53718-2002
Phone 608-440-6444
Mailing address
4602 Eastpark BlvdMadison, WI 53718-2002
Phone 608-440-6444
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All 540 Physical Therapist providers in Madison · All 16,750 providers in Madison
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