NPI 1336301654

Kellie Hough, PTA

Practitioner Physical Therapy Assistant Burlington, WI

Practice location

Address: 29335 Eagle Ridge Dr, Burlington, WI 53105-7607
Phone: (262) 661-4523

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 239019 (WI)

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Registry record

NPI: 1336301654
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2008
Record last updated: 27 Jun 2008

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.