IndividualActive
Colleen Kickbush
NPI 1497347884 · Developmental Therapist · Milwaukee, WI
Provider details
- NPI number
- 1497347884
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
9231 W Mount Vernon Ave
Milwaukee, WI 53226-4408
Phone: (224) 321-7007
Approximate (ZIP-level) locationGet directions
Mailing address
9231 W Mount Vernon Ave
Milwaukee, WI 53226-4408
Registry dates
- Enumerated
- 2021-02-07
- Last updated
- 2021-02-07
- Certified
- 2021-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.