Search › Wisconsin › 224Z00000X

Kimberly Stace, COTA

NPI 1033499769 · on the registry since 2011 · sole proprietor

Practice

Address
333 W Main St
Madison, WI 53703
Phone
(608) 283-2178
Organisation at this address
Capitol Lakes Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin