Mrs. Kellie Rae Hanson
Mrs. Kellie Rae Hanson is a Physical Therapist in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.
- Licensed in
- WI
- In the registry since
- 2016
Practice location Address checks out
2626 N 76th StWauwatosa, WI 53213-1137
Phone: (414) 774-7794
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 12676-24 (WI) |
|---|
Record details
| NPI number | 1528424249 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 11, 2016 |
| Last updated in NPPES | January 5, 2022 |
| Certification date | January 5, 2022 |
| Mailing address | 2626 N 76th St, Wauwatosa, WI 53213-1137 |
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Robert Wright Hoffmann II, DPT
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