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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CYNTHIA VIDA KETTER, PHYSICAL THERAPIST

Active Sole Proprietor

CYNTHIA VIDA KETTER, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in GREEN BAY, Wisconsin. NPI 1144436775 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GREEN BAY, WI

Registration Details

NPI Number
1144436775
Provider Type
Individual
Gender
Female
NPI Issued
May 14, 2007 (19.210075728366 yrs)
Last Updated
Jul 8, 2007
License
2595 (WI)
Sole Proprietor
Yes

Practice Information

Address
1435 W. MASON ST.
STE. 104
GREEN BAY, WI, 54303
Browse WI providers · Browse ZIP 54303
Phone
9207374135
Fax
9204909705
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in GREEN BAY, WI

Name Credential NPI
MR. CORY W PEED PT 1710989447
SARA E ADAMS PT 1255329983
RACHELLE B SCHROEDER PT 1790760247
TODD A WINNEY PT 1154306611
DAVID ALLEN GROOP PT 1265417869
CHERYL L HAAG PT 1427033026
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.