Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL KANNAL
ActiveMITCHELL KANNAL is a Physical Therapy Assistant healthcare provider located in KEWASKUM, Wisconsin. NPI 1255082350 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KEWASKUM, WI
Registration Details
- NPI Number
- 1255082350
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2022 (4.6057598561358 yrs)
- Last Updated
- Oct 9, 2025
- License
-
13543-24 (WI)
Practice Information
- Address
-
1701 FOND DU LAC AVEKEWASKUM, WI, 530409129Browse WI providers · Browse ZIP 53040
- Phone
- 2626264616
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in KEWASKUM, WI
| Name | Credential | NPI |
|---|---|---|
| ALYSHA CLAFLIN | DPT | 1821942772 |
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.