Slack, Kimberly L

Slack, Kimberly L is an individual health care provider with primary practice located at 2323 N Lake Dr , Milwaukee WI 53211-4508. 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. Slack, Kimberly L can be contacted via phone (414) 291-1066.

Contact Information

Primary practice address
2323 N Lake Dr Milwaukee WI 53211-4508
Phone: (414) 291-1066
Fax: (414) 291-1077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 890019 Wisconsin

Profile Details

NPI number 1245278167
LBN Legal business name Slack, Kimberly L
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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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