NPI 1336523562

Nicole Kelly

Practitioner Physical Therapy Assistant Superior, WI

Practice location

Address: 35 N 28th St, Superior, WI 54880-5557
Phone: (715) 392-3300
Mailing address: 4038 Munger Shaw Rd, Cloquet, MN 55720-9255

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2340-19 (WI)

Other Physical Therapy Assistant providers in Wisconsin →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A1718 (MN)

Registry record

NPI: 1336523562
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2015
Record last updated: 17 Jul 2015

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.