Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie Kidd-Thelen, PTA

Individual provider Physical Therapy Assistant · NPI 1164958336

Kellie Kidd-Thelen, PTA is a Physical Therapy Assistant in Sheboygan, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3613 S 13th St
Sheboygan, WI 53081-7253
Phone: (920) 458-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2593-19 (WI)

Record details

NPI number1164958336
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESMay 10, 2017
Mailing address432 N Mill Street, Apt. 209, Saukville, WI 53080

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