-- KRIS DESOTELLE -- PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1457442899- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 17280 W NORTH AVE #104, BROOKFIELD, WI, 530454366
- Phone
- (262) 780-0707
- Fax
- (262) 780-0717
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WI #1323