Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLEEN KICKBUSH
Active Sole ProprietorCOLLEEN KICKBUSH is a Developmental Therapist healthcare provider located in MILWAUKEE, Wisconsin. NPI 1497347884 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · MILWAUKEE, WI
Registration Details
- NPI Number
- 1497347884
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2021 (5.3276460370804 yrs)
- Last Updated
- Feb 7, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
9231 W MOUNT VERNON AVEMILWAUKEE, WI, 532264408Browse WI providers · Browse ZIP 53226
- Phone
- 2243217007
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| JAMARLOWE COTTON | — | 1417697962 |
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.