Koller, Audrey
Koller, Audrey is an individual health care provider with primary practice located at 106 S Holmen Dr Suite 2, Holmen WI 54636-9467. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Koller, Audrey can be contacted via phone (608) 526-9888.Contact Information
Primary practice address
106 S Holmen Dr Suite 2
Holmen WI 54636-9467
Phone: (608) 526-9888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2206 | Wisconsin |
Profile Details
| NPI number | 1497209001 |
|---|---|
| LBN Legal business name | Koller, Audrey |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2016 |
| Last updated | Aug 11th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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