Provider Demographics
NPI:1912888439
Name:KOHLER, JOYANNE MARIE
Entity type:Individual
Prefix:
First Name:JOYANNE
Middle Name:MARIE
Last Name:KOHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 110TH AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:WI
Mailing Address - Zip Code:54015-4801
Mailing Address - Country:US
Mailing Address - Phone:715-220-9679
Mailing Address - Fax:
Practice Address - Street 1:1622 110TH AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:WI
Practice Address - Zip Code:54015-4801
Practice Address - Country:US
Practice Address - Phone:715-220-9679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI69655171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist