Provider Demographics
NPI:1841825247
Name:CHIOLINO, KAYLIN MARIE (DPT)
Entity type:Individual
Prefix:
First Name:KAYLIN
Middle Name:MARIE
Last Name:CHIOLINO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UW HEALTH YAHARA CLINIC, 1050 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716
Mailing Address - Country:US
Mailing Address - Phone:608-890-6110
Mailing Address - Fax:310-933-4803
Practice Address - Street 1:UW HEALTH YAHARA CLINIC, 1050 E BROADWAY
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716
Practice Address - Country:US
Practice Address - Phone:608-890-6110
Practice Address - Fax:310-933-4803
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA297894225100000X
WI15591-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist