NPI 1083702567

Jennifer Ann Kehrberg, PTA

Practitioner Physical Therapy Assistant Hudson, WI

Practice location

Address: 2705 Enloe St, Hudson, WI 54016-8173
Phone: (715) 386-2128
Fax: (715) 386-6119
Mailing address: 11505 Valley Creek Rd, Woodbury, MN 55129-9491

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 684 (WI)

Other Physical Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1083702567
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.