Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY ANN KENNELLY, MA PT
ActivePhysical Therapy Assistant · SUPERIOR, WI
Registration Details
- NPI Number
- 1528261989
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2007 (18.875335614005 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
6496024 (WI)5371 (MN)
Practice Information
- Address
-
1612 N 37TH STREETSUPERIOR, WI, 54880Browse WI providers · Browse ZIP 54880
- Phone
- 7153925144
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SUPERIOR, WI
| Name | Credential | NPI |
|---|---|---|
| CHAD M PETERSON | PT | 1881692523 |
| MR. JAMES GERARD RAUZI | PT | 1639115686 |
| BETH ANN FOUDRIAT | — | 1770512873 |
| JOSEPH FRANK JEANETTA | — | 1649209313 |
| DALE ROBERT WHITBY | — | 1174620298 |
| DAWN MOULTON | RPT | 1104918416 |
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.