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NPI Code Detail

MEDICARE: KELLI GEISLER

MEDICARE: KELLI GEISLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist12330-24WI

General Provider Information

NPI Number : 1518395045
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLI GEISLER
Provider Business Mailing Address
First Line : 3939 S 92ND ST
Second Line :
City : GREENFIELD
State : WI
Zip : 53228-2140
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3939 S 92ND ST
Second Line :
City : GREENFIELD
State : WI
Zip : 53228-2140
Country : US
Telephone Number : 414-321-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2013
Last Update Date : 10/18/2013

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Directions to “ KELLI GEISLER ” Practice Location

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