Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KHESON KABALLA MADISON
ActiveKHESON KABALLA MADISON is a Occupational Therapist healthcare provider located in WISCONSIN RAPIDS, Wisconsin. NPI 1558871525 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WISCONSIN RAPIDS, WI
Registration Details
- NPI Number
- 1558871525
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2017 (8.8318441812269 yrs)
- Last Updated
- Oct 4, 2017
- License
-
2403-19 (WI)
Practice Information
- Address
-
555 W GRAND AVEWISCONSIN RAPIDS, WI, 544952784Browse WI providers · Browse ZIP 54495
- Phone
- 7154244682
- Fax
- 7154244614
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WISCONSIN RAPIDS, WI
| Name | Credential | NPI |
|---|---|---|
| REBECCA M STAUT | PTA | 1003121294 |
| AMY HAFERMAN | PTA | 1952705790 |
| LOGAN THERESE GROVESTEEN | — | 1184359036 |
| GRACE ALNES | PTA | 1497579478 |
| WENDY CLARY | — | 1083585749 |
| JODY CORN | — | 1710849112 |
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.