Rita Ana Latimer, PT
Individual provider Active NPI Physical Therapist · Combined Locks, WI
NPI 1205100799 · NPPES record last updated Feb 29, 2012
Key facts
- NPI
- 1205100799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11836024 (WI)
- Practice address
- 526 Rusch Dr
Combined Locks, WI 54113-1428 - Phone
- (920) 205-8697
- NPI assigned
- Feb 29, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11836024 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11836024 | WI | Yes |
Addresses
Primary practice location
526 Rusch Dr
Combined Locks, WI 54113-1428
Mailing address
526 Rusch Dr
Combined Locks, WI 54113-1428
Phone (920) 205-8697
Other providers in Combined Locks, WI
- Ashley Gogin
- Cheryl B. Haw
- Rebecca Jensen
- Mikaela Johnson
- Katelin Keck
- Jess Allan Mangold
- Ahilyn Mendoza
- Bryan Edward Piechocki
- Allison Ruhland
All providers in Combined Locks, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.