NPI 1497209001

Audrey Koller, PTA

Practitioner Physical Therapy Assistant Holmen, WI

Practice location

Address: 106 S Holmen Dr Suite 2, Holmen, WI 54636-9467
Phone: (608) 526-9888
Mailing address: 123 10th Ave S, Onalaska, WI 54650-3069

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2206 (WI)

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Registry record

NPI: 1497209001
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2016
Record last updated: 11 Aug 2016

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.