Kheson Kaballa Madison
Kheson Kaballa Madison is a Physical Therapy Assistant in Wisconsin Rapids, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.
- Licensed in
- WI
- In the registry since
- 2017
Practice location Address checks out
555 W Grand AveWisconsin Rapids, WI 54495-2784
Phone: (715) 424-4682
Fax: (715) 424-4614
Show map & directions
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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 2403-19 (WI) |
|---|
Record details
| NPI number | 1558871525 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 4, 2017 |
| Last updated in NPPES | October 4, 2017 |
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-
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