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

Mrs. Kimberly Anne Tedesco, PT

Individual provider Physical Therapist · NPI 1154538999

Mrs. Kimberly Anne Tedesco, PT is a Physical Therapist in Private Practice in Evansville, Wisconsin. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

470 Garfield Ave
Evansville, WI 53536-1014
Phone: (608) 882-6557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10322-024 (WI)

Record details

NPI number1154538999
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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