Provider Demographics
NPI:1265508717
Name:KESTEL, KAREN MARIE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MARIE
Last Name:KESTEL
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:422 ALTA LOMA DR
Mailing Address - Street 2:
Mailing Address - City:THIENSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53092-1456
Mailing Address - Country:US
Mailing Address - Phone:262-241-8030
Mailing Address - Fax:262-241-8304
Practice Address - Street 1:1476 W MEQUON RD
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3268
Practice Address - Country:US
Practice Address - Phone:262-241-8030
Practice Address - Fax:262-241-8304
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI2178-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist