Search › Wisconsin › 2255A2300X
Kyla Lichtenwalner, ATC
NPI 1205346996 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2422 Fox River Pkwy Unit I
Waukesha, WI 53189 - Phone
- (262) 501-6384
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-07
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