NPI 1497347884

Colleen Kickbush

Practitioner Developmental Therapist Milwaukee, WI

Practice location

Address: 9231 W Mount Vernon Ave, Milwaukee, WI 53226-4408
Phone: (224) 321-7007

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1497347884
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2021
Record last updated: 7 Feb 2021

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.