Kristen Thayer, COTA

NPI 1407282460 · on the registry since 2013 · sole proprietor

Practice

Address: 3601 S Chicago Ave
South Milwaukee, WI 53172
Phone: (414) 570-5425
Organisation at this address: Royal Medical Llc
Franciscan Villa Of South Milwaukee, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 30

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: 2013-09-23

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