Provider Demographics
NPI:1295928232
Name:DECHANT, KIMBERLY JOAN (DPT)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:JOAN
Last Name:DECHANT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:RING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:MARQUETTE PHYSICAL THERAPY CLINIC
Mailing Address - Street 2:604 N 16TH ST CRAMER HALL 215
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53233-2117
Mailing Address - Country:US
Mailing Address - Phone:414-292-5268
Mailing Address - Fax:
Practice Address - Street 1:604 N 16TH ST
Practice Address - Street 2:CRAMER HALL 104
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233-2117
Practice Address - Country:US
Practice Address - Phone:414-288-6754
Practice Address - Fax:414-288-6079
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10852225100000X
WI10852-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist